| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $861.38 | $1,335.90 | $2,600.00 | |
CareSource
| Facility | $927.47 | $1,034.56 | $1,127.17 | |
Cigna
| Facility | $991.71 | $991.71 | $991.71 | |
Cigna
| Facility | AS | $98.50 | $98.50 | $98.50 |