| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | $229.09 | $457.09 | $2,511.89 | |
Ambetter
| Professional | 50 | $933.25 | $933.25 | $1,122.02 |
Molina
| Professional | $32.36 | $33.11 | $2,454.71 | |
United
| Facility | $4,677.35 | $9,772.37 | $15,135.61 | |
United
| Professional | $524.81 | $2,818.38 | $6,918.31 |