| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,071.16 | $1,071.16 | $1,400.00 | |
CareSource
| Facility | $1,224.31 | $1,415.54 | $1,542.25 | |
Cigna
| Facility | $1,309.58 | $1,309.58 | $1,309.58 | |
Cigna
| Facility | AS | $130.04 | $130.04 | $130.04 |