| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $1,878.84 | $1,878.84 | |
CareSource
| Facility | $1,870.75 | $2,153.60 | $2,346.38 | |
Cigna
| Facility | $2,012.65 | $2,012.65 | $2,012.65 | |
Cigna
| Facility | 62 | $1,217.72 | $1,217.72 | $1,217.72 |