| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,388.44 | $8,709.64 | $11,481.54 | |
Ambetter
| Facility | $4,265.80 | $4,265.80 | $22,908.68 | |
Cigna
| Facility | $7,413.10 | $10,964.78 | $11,220.18 | |
United
| Facility | $1,819.70 | $6,165.95 | $11,220.18 |