| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,182.40 | $1,400.00 | $2,300.00 | |
CareSource
| Facility | $1,353.15 | $1,562.23 | $1,702.08 | |
Cigna
| Facility | $1,446.52 | $1,446.52 | $1,446.52 | |
Cigna
| Facility | AS | $143.87 | $143.87 | $143.87 |