| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $32,614.82 | $32,614.82 | $32,614.82 | |
Cigna
| Facility | $30,166.00 | $38,848.14 | $74,427.14 | |
Harvard Pilgrim
| Facility | $30,327.75 | $52,137.72 | $72,733.88 | |
United
| Facility | $42,461.75 | $42,461.75 | $73,895.14 |