| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $1,464.79 | $2,488.32 | |
CareSource
| Facility | $1,669.26 | $1,927.02 | $2,099.52 | |
Cigna
| Facility | $1,784.89 | $1,784.89 | $1,784.89 | |
Cigna
| Facility | AS | $177.02 | $177.02 | $177.02 |