| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $525.00 | $650.00 | $813.00 | |
Ambetter
| Facility | $177.02 | $223.42 | $1,303.45 | |
Anthem BCBS
| Facility | $605.00 | $710.00 | $904.00 | |
Cigna
| Facility | $425.00 | $850.00 | $1,296.00 |