| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $2,252.87 | $2,252.87 | |
CareSource
| Facility | $2,542.96 | $2,966.87 | $3,232.45 | |
Cigna
| Facility | $2,729.63 | $2,729.63 | $2,729.63 | |
Cigna
| Facility | AS | $270.41 | $270.41 | $270.41 |