| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,395.00 | $5,460.00 | $12,990.40 | |
Ambetter
| Facility | $7,564.87 | $11,564.25 | $18,242.25 | |
BCBS
| Facility | $1,009.00 | $6,474.00 | $14,746.29 | |
United
| Facility | $8,063.68 | $11,955.76 | $18,382.54 |