| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | $457.09 | $537.03 | $2,344.23 | |
Medica
| Facility | $54.95 | $4,786.30 | $12,589.25 | |
Medica
| Professional | $3,890.45 | $6,165.95 | $22,908.68 | |
United
| Facility | $3,311.31 | $8,912.51 | $10,232.93 | |
United
| Professional | $575.44 | $3,388.44 | $6,606.93 |