| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18,197.01 | $19,952.62 | $21,877.62 | |
Ambetter
| Facility | $18,620.87 | $18,620.87 | $18,620.87 | |
Cigna
| Facility | $12,589.25 | $21,877.62 | $42,657.95 | |
United
| Facility | $2,344.23 | $14,791.08 | $29,512.09 |