| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $846.51 | $1,327.98 | $2,600.00 | |
CareSource
| Facility | $924.41 | $1,028.42 | $1,120.49 | |
Cigna
| Facility | $990.60 | $990.60 | $990.60 | |
Cigna
| Facility | AS | $98.20 | $98.20 | $98.20 |