| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,855.90 | $21,325.80 | $28,617.50 | |
Ambetter
| Facility | $17,914.28 | $17,914.28 | $17,914.28 | |
Cigna
| Facility | $10,556.42 | $17,170.50 | $39,378.82 | |
United
| Facility | $12,458.91 | $16,914.09 | $23,960.86 |