| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,918.31 | $35,481.34 | $42,657.95 | |
Ambetter
| Facility | $39,810.72 | $39,810.72 | $39,810.72 | |
Cigna
| Facility | $24,547.09 | $42,657.95 | $83,176.38 | |
United
| Facility | $14,454.40 | $35,481.34 | $70,794.58 |