| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,345.67 | $1,345.67 | $2,055.38 | |
CareSource
| Facility | $1,399.58 | $1,591.74 | $1,734.22 | |
Cigna
| Facility | $1,497.17 | $1,497.17 | $1,497.17 | |
Cigna
| Facility | AS | $146.97 | $146.97 | $146.97 |