| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $2,013.29 | $2,013.29 | |
CareSource
| Facility | $2,029.15 | $2,322.00 | $2,529.85 | |
Cigna
| Facility | $2,176.46 | $2,176.46 | $2,176.46 | |
Cigna
| Facility | AS | $212.06 | $212.06 | $212.06 |