| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,988.00 | $6,988.00 | $6,988.00 | |
Ambetter
| Facility | $87.51 | $1,120.09 | $3,029.02 | |
Cigna
| Facility | $2,390.00 | $5,522.00 | $11,789.00 | |
United
| Facility | $924.00 | $924.00 | $1,016.00 |