| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,596.00 | $5,678.00 | $13,845.30 | |
Ambetter
| Facility | $6,228.81 | $6,228.81 | $11,872.79 | |
BCBS
| Facility | $1,049.00 | $7,456.63 | $15,716.79 | |
United
| Facility | $9,765.60 | $14,594.30 | $22,067.87 |