| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $630.00 | $2,500.00 | $2,500.00 | |
Ambetter
| Facility | $166.03 | $166.03 | $166.03 | |
Anthem BCBS
| Facility | $368.00 | $1,346.00 | $2,357.90 | |
Cigna
| Facility | $300.00 | $1,750.00 | $5,450.00 |