| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $1,995.49 | $3,024.45 | |
CareSource
| Facility | $2,075.83 | $2,342.21 | $2,551.88 | |
Cigna
| Facility | $2,230.33 | $2,230.33 | $2,230.33 | |
Cigna
| Facility | AS | $218.55 | $218.55 | $218.55 |