| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $525.00 | $1,484.00 | $1,602.00 | |
Ambetter
| Facility | $573.35 | $835.34 | $1,738.52 | |
Cigna
| Facility | $964.00 | $1,014.00 | $2,450.00 | |
Medica
| Facility | $632.74 | $632.74 | $1,616.26 |