| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $600.00 | $900.00 | $1,950.00 | |
Ambetter
| Facility | $203.00 | $471.20 | $1,023.57 | |
Cigna
| Facility | $300.00 | $2,427.00 | $2,427.00 | |
Medica
| Facility | $391.68 | $741.59 | $1,751.95 |