| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,090.73 | $1,400.00 | $2,600.00 | |
CareSource
| Facility | $1,169.64 | $1,309.68 | $1,426.92 | |
Cigna
| Facility | $1,250.74 | $1,250.74 | $1,250.74 | |
Cigna
| Facility | AS | $124.19 | $124.19 | $124.19 |