| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.36 | $151.36 | $151.36 | |
Ambetter
| Facility | $537.03 | $676.08 | $5,011.87 | |
Cigna
| Facility | $501.19 | $1,778.28 | $3,467.37 | |
United
| Facility | $234.42 | $1,096.48 | $7,585.78 |