| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $2,131.57 | $3,240.78 | |
CareSource
| Facility | $2,215.39 | $2,509.73 | $2,734.41 | |
Cigna
| Facility | $2,376.52 | $2,376.52 | $2,376.52 | |
Cigna
| Facility | AS | $233.27 | $233.27 | $233.27 |