| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,832.00 | $9,832.00 | $24,100.00 | |
Ambetter
| Facility | $4,015.11 | $4,015.11 | $7,426.80 | |
Cigna
| Facility | $7,650.00 | $14,656.00 | $18,349.00 | |
Horizon BCBS
| Facility | $5.16 | $17.68 | $630.00 |