| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $791.00 | $908.00 | $908.00 | |
Ambetter
| Facility | $146.25 | $509.57 | $1,863.34 | |
Cigna
| Facility | $936.00 | $1,587.00 | $1,587.00 | |
Medica
| Facility | $1,914.02 | $1,986.20 | $3,434.40 |