| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $347.00 | $1,831.00 | $2,176.00 | |
Ambetter
| Facility | $197.84 | $197.84 | $197.84 |
Labor
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $347.00 | $1,831.00 | $2,176.00 | |
Ambetter
| Facility | $197.84 | $197.84 | $197.84 |