| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21,877.62 | $23,988.33 | $25,703.96 | |
Ambetter
| Facility | $25,703.96 | $25,703.96 | $25,703.96 | |
Cigna
| Facility | $14,791.08 | $26,302.68 | $51,286.14 | |
United
| Facility | $5,128.61 | $21,877.62 | $43,651.58 |