| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $2,186.09 | $3,684.35 | |
CareSource
| Facility | $2,470.73 | $2,853.25 | $3,108.67 | |
Cigna
| Facility | $2,655.18 | $2,655.18 | $2,655.18 | |
Cigna
| Facility | AS | $262.88 | $262.88 | $262.88 |