| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $1,574.94 | $2,395.19 | |
CareSource
| Facility | $1,637.59 | $1,854.91 | $2,020.95 | |
Cigna
| Facility | $1,751.21 | $1,751.21 | $1,751.21 | |
Cigna
| Facility | AS | $171.20 | $171.20 | $171.20 |