| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $1,962.90 | $2,979.42 | |
CareSource
| Facility | $2,056.29 | $2,307.35 | $2,513.89 | |
Cigna
| Facility | $2,209.56 | $2,209.56 | $2,209.56 | |
Cigna
| Facility | AS | $216.98 | $216.98 | $216.98 |