| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,229.09 | $1,400.00 | $1,862.80 | |
CareSource
| Facility | $1,278.46 | $1,442.60 | $1,571.74 | |
Cigna
| Facility | $1,372.04 | $1,372.04 | $1,372.04 | |
Cigna
| Facility | AS | $135.26 | $135.26 | $135.26 |