| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,596.00 | $5,678.00 | $28,934.10 | |
Ambetter
| Facility | $3,258.08 | $3,258.08 | $3,258.08 | |
BCBS
| Facility | $1,049.00 | $14,527.02 | $31,747.88 | |
United
| Facility | $20,408.23 | $30,499.28 | $46,117.60 |