| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,123.55 | $10,997.06 | $10,997.06 | |
CareSource
| Facility | $780.13 | $870.11 | $948.00 | |
Cigna
| Facility | $836.22 | $836.22 | $836.22 | |
Cigna
| Facility | AS | $83.10 | $83.10 | $83.10 |