| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,152.33 | $1,152.33 | $1,400.00 | |
CareSource
| Facility | $1,145.29 | $1,319.45 | $1,437.56 | |
Cigna
| Facility | $1,231.21 | $1,231.21 | $1,231.21 | |
Cigna
| Facility | AS | $119.30 | $119.30 | $119.30 |