| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,120.29 | $1,400.00 | $3,550.00 | |
CareSource
| Facility | $1,160.82 | $1,321.86 | $1,440.18 | |
Cigna
| Facility | $1,243.03 | $1,243.03 | $1,243.03 | |
Cigna
| Facility | AS | $121.95 | $121.95 | $121.95 |