| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,799.20 | $18,665.80 | $18,665.80 | |
Ambetter
| Facility | $21,974.41 | $21,974.41 | $21,974.41 | |
BCBS
| Facility | $925.00 | $1,627.69 | $16,370.37 | |
United
| Facility | $6,965.00 | $27,886.24 | $36,005.80 |