| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $958.86 | $1,400.00 | $2,300.00 | |
CareSource
| Facility | $1,027.72 | $1,152.02 | $1,255.15 | |
Cigna
| Facility | $1,096.91 | $1,096.91 | $1,096.91 | |
Cigna
| Facility | AS | $108.71 | $108.71 | $108.71 |