| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,000.00 | $2,000.00 | $2,000.00 | |
Ambetter
| Facility | $2,761.48 | $8,340.68 | $16,802.29 | |
Cigna
| Facility | $7,722.00 | $12,611.00 | $12,611.00 | |
Medica
| Facility | $8,000.00 | $8,000.00 | $11,933.00 |