| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,038.00 | $1,402.00 | $1,781.00 | |
Ambetter
| Facility | $499.15 | $499.15 | $499.15 | |
Cigna
| Facility | $643.00 | $859.00 | $1,181.00 | |
Medica
| Facility | $1,242.00 | $1,242.00 | $1,242.00 |