| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,596.00 | $5,678.00 | $15,801.00 | |
Ambetter
| Facility | $6,456.76 | $6,456.76 | $8,689.51 | |
BCBS
| Facility | $1,049.00 | $8,509.87 | $17,936.75 | |
United
| Facility | $11,144.97 | $16,297.06 | $23,584.94 |