| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $1,952.59 | $1,952.59 | |
CareSource
| Facility | $2,208.89 | $2,576.86 | $2,807.53 | |
Cigna
| Facility | $2,371.51 | $2,371.51 | $2,371.51 | |
Cigna
| Facility | AS | $234.99 | $234.99 | $234.99 |