| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $887.02 | $1,364.14 | $2,600.00 | |
CareSource
| Facility | $949.64 | $1,056.43 | $1,151.00 | |
Cigna
| Facility | $1,021.84 | $1,021.84 | $1,021.84 | |
Cigna
| Facility | AS | $102.08 | $102.08 | $102.08 |