| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,300.00 | $16,743.00 | $16,743.00 | |
Ambetter
| Facility | $3,831.16 | $6,263.73 | $11,106.00 | |
Cigna
| Facility | $9,423.00 | $9,423.00 | $12,234.00 | |
Wellcare
| Facility | $5,034.00 | $7,738.00 | $10,401.00 |