| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $871.84 | $1,400.00 | $1,491.04 | |
CareSource
| Facility | $1,008.23 | $1,154.70 | $1,258.07 | |
Cigna
| Facility | $1,079.51 | $1,079.51 | $1,079.51 | |
Cigna
| Facility | AS | $106.59 | $106.59 | $106.59 |