| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,277.00 | $4,524.00 | $6,154.00 | |
Ambetter
| Facility | $3,054.47 | $3,054.47 | $3,674.85 | |
Anthem BCBS
| Facility | $3,621.00 | $3,621.00 | $4,526.00 | |
Cigna
| Facility | $5,564.00 | $5,564.00 | $5,564.00 |