| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,980.00 | $7,711.00 | $7,711.00 | |
Ambetter
| Facility | $3,350.00 | $3,350.00 | $3,350.00 | |
Medica
| Facility | $616.00 | $1,488.00 | $2,556.39 | |
United
| Facility | $616.00 | $1,116.00 | $1,709.00 |