| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $1,528.68 | $2,600.00 | |
CareSource
| Facility | $1,733.21 | $2,004.95 | $2,184.42 | |
Cigna
| Facility | $1,858.07 | $1,858.07 | $1,858.07 | |
Cigna
| Facility | AS | $184.10 | $184.10 | $184.10 |