| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $1,628.79 | $2,483.46 | |
CareSource
| Facility | $1,692.87 | $1,923.25 | $2,095.42 | |
Cigna
| Facility | $1,814.27 | $1,814.27 | $1,814.27 | |
Cigna
| Facility | AS | $178.17 | $178.17 | $178.17 |