| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $500.00 | $900.00 | $1,400.00 | |
Ambetter
| Facility | $14.40 | $1,711.37 | $3,275.97 | |
Cigna
| Facility | $1,050.00 | $1,321.00 | $3,568.00 | |
United
| Facility | $4,430.00 | $4,430.00 | $4,430.00 |