| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24,729.30 | $38,376.90 | $61,435.70 | |
Ambetter
| Facility | $25,876.17 | $25,876.17 | $38,425.16 | |
Cigna
| Facility | $22,851.62 | $36,718.57 | $75,935.00 | |
United
| Facility | $18,754.47 | $33,860.36 | $46,460.38 |