| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $1,982.31 | $3,374.48 | |
CareSource
| Facility | $2,243.01 | $2,613.29 | $2,847.22 | |
Cigna
| Facility | $2,408.56 | $2,408.56 | $2,408.56 | |
Cigna
| Facility | AS | $238.75 | $238.75 | $238.75 |