| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,061.13 | $1,400.00 | $2,300.00 | |
CareSource
| Facility | $1,146.33 | $1,279.13 | $1,393.63 | |
Cigna
| Facility | $1,227.18 | $1,227.18 | $1,227.18 | |
Cigna
| Facility | AS | $122.06 | $122.06 | $122.06 |