| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $2,010.90 | $3,081.33 | |
CareSource
| Facility | $2,089.31 | $2,089.31 | $2,599.87 | |
Cigna
| Facility | $2,233.56 | $2,233.56 | $2,233.56 | |
Cigna
| Facility | AS | $219.00 | $219.00 | $219.00 |