| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,065.00 | $1,224.00 | $1,224.00 | |
Ambetter
| Facility | $489.18 | $489.18 | $489.18 | |
Cigna
| Facility | $1,091.00 | $1,864.00 | $1,864.00 |
MRA - Other
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,065.00 | $1,224.00 | $1,224.00 | |
Ambetter
| Facility | $489.18 | $489.18 | $489.18 | |
Cigna
| Facility | $1,091.00 | $1,864.00 | $1,864.00 |