| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | $74.13 | $208.93 | $371.54 | |
Medica
| Facility | $72.44 | $199.53 | $912.01 | |
Medica
| Professional | $281.84 | $331.13 | $1,778.28 | |
United
| Facility | $63.10 | $302.00 | $389.05 | |
United
| Professional | $288.40 | $331.13 | $602.56 |