| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,148.15 | $1,412.54 | $1,548.82 | |
Ambetter
| Facility | $251.19 | $512.86 | $1,737.80 | |
Cigna
| Facility | $398.11 | $812.83 | $1,380.38 | |
Medica
| Facility | $724.44 | $1,445.44 | $2,818.38 |