| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $407.38 | $407.38 | $407.38 | |
Ambetter
| Facility | $309.03 | $331.13 | $2,454.71 | |
Cigna
| Facility | $1,096.48 | $1,862.09 | $1,862.09 | |
Medica
| Facility | $1,071.52 | $1,071.52 | $1,071.52 |