| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,182.82 | $1,806.56 | $9,904.21 | |
CareSource
| Facility | $1,165.88 | $1,258.35 | $1,524.29 | |
Cigna
| Facility | $1,349.70 | $1,349.70 | $1,349.70 | |
Cigna
| Facility | AS | $132.97 | $132.97 | $132.97 |