| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,220.54 | $1,400.00 | $2,300.00 | |
CareSource
| Facility | $1,309.13 | $1,465.75 | $1,596.96 | |
Cigna
| Facility | $1,401.97 | $1,401.97 | $1,401.97 | |
Cigna
| Facility | AS | $139.02 | $139.02 | $139.02 |