| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,128.61 | $5,623.41 | $6,165.95 | |
Ambetter
| Facility | $5,011.87 | $5,011.87 | $5,370.32 | |
Cigna
| Facility | $3,548.13 | $6,165.95 | $12,022.64 | |
United
| Facility | $2,344.23 | $5,128.61 | $10,000.00 |