| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $861.08 | $1,314.16 | $1,600.00 | |
CareSource
| Facility | $894.74 | $1,017.72 | $1,108.82 | |
Cigna
| Facility | $958.75 | $958.75 | $958.75 | |
Cigna
| Facility | AS | $94.32 | $94.32 | $94.32 |