| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $2,536.61 | $2,536.61 | |
CareSource
| Facility | $2,556.60 | $2,922.79 | $3,184.42 | |
Cigna
| Facility | $2,743.54 | $2,743.54 | $2,743.54 | |
Cigna
| Facility | AS | $267.05 | $267.05 | $267.05 |