| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $549.54 | $549.54 | $562.34 | |
Ambetter
| Facility | $602.56 | $954.99 | $1,621.81 | |
Cigna
| Facility | $954.99 | $1,023.29 | $2,454.71 | |
Medica
| Facility | $630.96 | $630.96 | $1,621.81 |