| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,356.90 | $1,356.90 | $2,061.71 | |
CareSource
| Facility | $1,411.57 | $1,596.65 | $1,739.57 | |
Cigna
| Facility | $1,512.50 | $1,512.50 | $1,512.50 | |
Cigna
| Facility | AS | $148.22 | $148.22 | $148.22 |