| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,348.15 | $1,348.15 | $1,400.00 | |
CareSource
| Facility | $1,341.71 | $1,541.84 | $1,679.86 | |
Cigna
| Facility | $1,445.75 | $1,445.75 | $1,445.75 | |
Cigna
| Facility | AS | $140.59 | $140.59 | $140.59 |