| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $1,446.90 | $2,199.76 | |
CareSource
| Facility | $1,493.06 | $1,703.56 | $1,856.05 | |
Cigna
| Facility | $1,601.71 | $1,601.71 | $1,601.71 | |
Cigna
| Facility | AS | $156.62 | $156.62 | $156.62 |