| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $829.20 | $1,294.56 | $2,600.00 | |
CareSource
| Facility | $900.33 | $1,002.54 | $1,092.29 | |
Cigna
| Facility | $964.18 | $964.18 | $964.18 | |
Cigna
| Facility | AS | $95.70 | $95.70 | $95.70 |