| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,142.66 | $1,400.00 | $9,770.73 | |
CareSource
| Facility | $1,190.76 | $1,355.06 | $1,476.36 | |
Cigna
| Facility | $1,273.81 | $1,273.81 | $1,273.81 | |
Cigna
| Facility | AS | $125.45 | $125.45 | $125.45 |