| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $1,586.81 | $2,657.07 | |
CareSource
| Facility | $1,799.91 | $2,057.71 | $2,241.90 | |
Cigna
| Facility | $1,928.51 | $1,928.51 | $1,928.51 | |
Cigna
| Facility | AS | $190.74 | $190.74 | $190.74 |