| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | $795.10 | $795.10 | $795.10 | |
Anthem BCBS
| Professional | $539.87 | $631.52 | $1,046.61 | |
Medica
| Facility | $315.52 | $1,288.09 | $46,408.00 | |
Medica
| Professional | $120.93 | $200.04 | $4,390.95 | |
United
| Professional | $120.93 | $183.88 | $822.62 |