| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $1,873.17 | $1,873.17 | |
CareSource
| Facility | $2,121.80 | $2,471.81 | $2,693.07 | |
Cigna
| Facility | $2,274.89 | $2,274.89 | $2,274.89 | |
Cigna
| Facility | AS | $225.63 | $225.63 | $225.63 |