| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $1,791.84 | $1,791.84 | |
CareSource
| Facility | $2,027.78 | $2,365.64 | $2,577.41 | |
Cigna
| Facility | $2,170.19 | $2,170.19 | $2,170.19 | |
Cigna
| Facility | AS | $214.89 | $214.89 | $214.89 |