| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,918.00 | $1,927.00 | $1,969.00 | |
Ambetter
| Facility | $692.63 | $692.63 | $692.63 | |
Cigna
| Facility | $1,061.00 | $1,061.00 | $1,061.00 | |
Qualchoice
| Facility | $1,978.97 | $1,978.97 | $1,978.97 |