| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $398.11 | $758.58 | $758.58 | |
Ambetter
| Facility | $1,148.15 | $1,148.15 | $1,148.15 | |
Cigna
| Facility | $724.44 | $724.44 | $1,174.90 | |
United
| Facility | $549.54 | $660.69 | $851.14 |