| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50,724.20 | $67,191.20 | $117,559.00 | |
Ambetter
| Facility | $36,845.96 | $36,845.96 | $36,845.96 | |
Cigna
| Facility | $25,198.00 | $64,464.40 | $104,959.80 | |
United
| Facility | $3,496.00 | $76,529.48 | $118,941.72 |