| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,065.00 | $1,224.00 | $1,224.00 | |
Ambetter
| Facility | $321.89 | $509.57 | $1,245.11 | |
Cigna
| Facility | $1,091.00 | $1,864.00 | $1,864.00 | |
Medica
| Facility | $1,677.58 | $1,677.58 | $1,721.90 |