| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,071.94 | $1,400.00 | $2,300.00 | |
CareSource
| Facility | $1,150.06 | $1,285.19 | $1,400.23 | |
Cigna
| Facility | $1,232.17 | $1,232.17 | $1,232.17 | |
Cigna
| Facility | AS | $122.40 | $122.40 | $122.40 |