| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $441.00 | $827.00 | $1,597.00 | |
Ambetter
| Facility | $287.52 | $657.19 | $1,229.84 | |
Cigna
| Facility | $365.00 | $594.00 | $790.00 | |
Qualchoice
| Facility | $303.32 | $623.14 | $1,083.36 |