| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,353.42 | $1,353.42 | $1,400.00 | |
CareSource
| Facility | $1,349.30 | $1,554.74 | $1,693.91 | |
Cigna
| Facility | $1,448.32 | $1,448.32 | $1,448.32 | |
Cigna
| Facility | AS | $140.33 | $140.33 | $140.33 |