| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,094.69 | $1,400.00 | $3,050.00 | |
CareSource
| Facility | $1,182.41 | $1,320.85 | $1,439.09 | |
Cigna
| Facility | $1,260.22 | $1,260.22 | $1,260.22 | |
Cigna
| Facility | AS | $124.78 | $124.78 | $124.78 |