| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $1,780.91 | $2,701.87 | |
CareSource
| Facility | $1,863.04 | $2,092.39 | $2,279.69 | |
Cigna
| Facility | $2,000.53 | $2,000.53 | $2,000.53 | |
Cigna
| Facility | AS | $196.33 | $196.33 | $196.33 |