| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $789.00 | $4,479.00 | $14,129.30 | |
Ambetter
| Facility | $4,526.45 | $10,081.14 | $19,669.93 | |
BCBS
| Facility | $1,049.00 | $7,609.59 | $16,039.18 | |
United
| Facility | $9,965.92 | $14,893.66 | $22,520.53 |