| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,187.76 | $4,365.16 | $7,413.10 | |
Aetna
| Professional | $3,235.94 | $8,511.38 | $9,772.37 | |
Ambetter
| Professional | $2,238.72 | $2,238.72 | $2,238.72 | |
Medica
| Facility | $1,288.25 | $3,162.28 | $15,135.61 | |
United
| Facility | $1,819.70 | $2,818.38 | $7,244.36 |