| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $1,457.29 | $1,457.29 | |
CareSource
| Facility | $1,638.10 | $1,853.20 | $2,019.09 | |
Cigna
| Facility | $1,771.57 | $1,771.57 | $1,771.57 | |
Cigna
| Facility | 62 | $1,097.49 | $1,097.49 | $1,097.49 |