| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,918.31 | $6,918.31 | $6,918.31 | |
Ambetter
| Facility | $81.28 | $1,698.24 | $4,365.16 | |
Cigna
| Facility | $3,311.31 | $6,165.95 | $20,417.38 | |
United
| Facility | $794.33 | $933.25 | $5,248.07 |