| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,129.82 | $1,129.82 | $1,400.00 | |
CareSource
| Facility | $1,122.31 | $1,293.01 | $1,408.75 | |
Cigna
| Facility | $1,207.86 | $1,207.86 | $1,207.86 | |
Cigna
| Facility | AS | $117.07 | $117.07 | $117.07 |