| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,849.00 | $6,280.00 | $7,114.00 | |
Ambetter
| Facility | $1,189.68 | $2,188.16 | $2,886.72 | |
Cigna
| Facility | $4,651.00 | $5,637.00 | $8,404.00 | |
Medica
| Facility | $3,987.98 | $3,987.98 | $3,987.98 |