| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,165.95 | $7,943.28 | $12,022.64 | |
Ambetter
| Facility | $5,495.41 | $5,754.40 | $7,762.47 | |
BCBS
| Facility | $4,466.84 | $7,762.47 | $12,022.64 | |
United
| Facility | $6,165.95 | $8,912.51 | $13,489.63 |