| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,023.24 | $1,023.24 | $2,600.00 | |
CareSource
| Facility | $1,021.55 | $1,176.04 | $1,281.31 | |
Cigna
| Facility | $1,099.81 | $1,099.81 | $1,099.81 | |
Cigna
| Facility | AS | $106.63 | $106.63 | $106.63 |