| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,388.76 | $1,388.76 | $1,388.76 | |
Ambetter
| Facility | $140.40 | $140.40 | $140.40 | |
Cigna
| Facility | $90.00 | $94.00 | $150.00 | |
Hally Health
| Facility | $100.00 | $182.00 | $226.72 |