| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $302.00 | $302.00 | $302.00 | |
Ambetter
| Facility | $245.47 | $331.13 | $1,659.59 | |
Cigna
| Facility | $933.25 | $1,584.89 | $1,584.89 | |
Medica
| Facility | $812.83 | $1,513.56 | $5,370.32 |