| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,596.00 | $5,678.00 | $20,553.90 | |
Ambetter
| Facility | $6,788.47 | $12,059.88 | $24,750.00 | |
BCBS
| Facility | $1,049.00 | $10,999.80 | $22,552.73 | |
United
| Facility | $14,497.39 | $21,665.76 | $32,760.55 |