| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,083.26 | $1,083.26 | $1,400.00 | |
CareSource
| Facility | $1,078.65 | $1,243.81 | $1,355.14 | |
Cigna
| Facility | $1,159.44 | $1,159.44 | $1,159.44 | |
Cigna
| Facility | AS | $112.26 | $112.26 | $112.26 |