| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | $512.86 | $512.86 | $512.86 | |
Cigna
| Professional | $1,737.80 | $2,238.72 | $14,125.38 | |
Horizon BCBS
| Facility | $22,908.68 | $38,018.94 | $53,703.18 | |
Horizon BCBS
| Professional | $398.11 | $3,630.78 | $8,912.51 | |
United
| Facility | $6,918.31 | $12,589.25 | $20,417.38 | |
United
| Professional | $478.63 | $2,511.89 | $9,120.11 |