| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $24,706.30 | $24,706.30 | $24,706.30 | |
Cigna
| Facility | $19,089.52 | $30,733.04 | $35,672.00 | |
Harvard Pilgrim
| Facility | $14,323.38 | $21,882.12 | $32,147.35 | |
United
| Facility | $17,821.13 | $17,821.13 | $31,013.66 |