| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $791.00 | $908.00 | $908.00 | |
Ambetter
| Facility | $226.62 | $298.88 | $1,314.42 | |
Cigna
| Facility | $936.00 | $1,587.00 | $1,587.00 | |
Medica
| Facility | $807.00 | $1,526.03 | $5,337.20 |