| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $2,287.94 | $2,287.94 | |
CareSource
| Facility | $2,309.64 | $2,644.00 | $2,880.67 | |
Cigna
| Facility | $2,475.91 | $2,475.91 | $2,475.91 | |
Cigna
| Facility | AS | $241.18 | $241.18 | $241.18 |