| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $1,418.50 | $2,600.00 | |
CareSource
| Facility | $1,471.86 | $1,673.86 | $1,823.69 | |
Cigna
| Facility | $1,576.70 | $1,576.70 | $1,576.70 | |
Cigna
| Facility | AS | $154.72 | $154.72 | $154.72 |