| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $998.00 | $1,751.00 | $4,548.00 | |
Ambetter
| Facility | $21.32 | $253.17 | $3,811.97 | |
Cigna
| Facility | $775.00 | $1,300.00 | $2,728.00 | |
Qualchoice
| Facility | $14.49 | $43.99 | $4,348.38 |