| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $1,873.96 | $1,873.96 | |
CareSource
| Facility | $2,127.05 | $2,381.32 | $2,594.48 | |
Cigna
| Facility | $2,287.73 | $2,287.73 | $2,287.73 | |
Cigna
| Facility | AS | $224.74 | $224.74 | $224.74 |