| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,229.39 | $1,229.39 | $1,400.00 | |
CareSource
| Facility | $1,228.17 | $1,414.33 | $1,540.93 | |
Cigna
| Facility | $1,322.09 | $1,322.09 | $1,322.09 | |
Cigna
| Facility | AS | $128.18 | $128.18 | $128.18 |