| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $3,190.71 | $4,848.14 | |
CareSource
| Facility | $3,286.62 | $3,754.54 | $4,090.62 | |
Cigna
| Facility | $3,529.97 | $3,529.97 | $3,529.97 | |
Cigna
| Facility | AS | $346.01 | $346.01 | $346.01 |