| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $1,467.99 | $1,467.99 | |
CareSource
| Facility | $1,460.01 | $1,682.62 | $1,833.23 | |
Cigna
| Facility | $1,568.86 | $1,568.86 | $1,568.86 | |
Cigna
| Facility | AS | $151.96 | $151.96 | $151.96 |