| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,716.00 | $1,716.00 | $3,000.00 | |
Ambetter
| Facility | $406.80 | $824.97 | $858.03 | |
AmeriHealth
| Facility | $1,695.60 | $1,695.60 | $1,695.60 | |
Cigna
| Facility | $2,211.30 | $2,375.56 | $7,828.00 |