| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $811.00 | $811.00 | $811.00 | |
Ambetter
| Facility | $519.87 | $519.87 | $519.87 | |
BCBS
| Facility | $475.00 | $685.00 | $880.00 | |
Cigna
| Facility | $385.00 | $584.00 | $1,000.00 | |
Health Alliance Plan
| Facility | $651.00 | $751.71 | $811.00 |