| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,148.15 | $1,412.54 | $1,548.82 | |
Ambetter
| Facility | $177.83 | $436.52 | $1,288.25 | |
Cigna
| Facility | $398.11 | $812.83 | $1,380.38 | |
Medica
| Facility | $812.83 | $1,096.48 | $2,089.30 |