| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $989.63 | $989.63 | $3,550.00 | |
CareSource
| Facility | $987.19 | $1,135.39 | $1,237.03 | |
Cigna
| Facility | $1,061.08 | $1,061.08 | $1,061.08 | |
Cigna
| Facility | AS | $102.94 | $102.94 | $102.94 |