| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $300.00 | $1,699.00 | $3,600.00 | |
Ambetter
| Facility | $25.31 | $2,326.32 | $3,626.74 | |
Cigna
| Facility | $278.00 | $1,050.00 | $3,160.00 | |
Medica
| Facility | $23.25 | $26.69 | $78.16 |