| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $2,210.64 | $2,210.64 | |
CareSource
| Facility | $2,229.06 | $2,551.21 | $2,779.58 | |
Cigna
| Facility | $2,390.21 | $2,390.21 | $2,390.21 | |
Cigna
| Facility | AS | $232.86 | $232.86 | $232.86 |