| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $12,234.13 | $12,234.13 | $12,234.13 | |
Cigna
| Facility | $14,436.96 | $23,998.06 | $35,672.00 | |
Harvard Pilgrim
| Facility | $10,639.61 | $16,548.93 | $24,312.28 | |
United
| Facility | $13,477.70 | $13,477.70 | $23,454.90 |