| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | $371.54 | $371.54 | $371.54 | |
Molina
| Professional | $39.81 | $39.81 | $60.26 | |
United
| Facility | $7,762.47 | $17,378.01 | $43,651.58 | |
United
| Professional | $95.50 | $141.25 | $380.19 |