| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | $194.98 | $213.80 | $416.87 | |
Medica
| Facility | $234.42 | $1,584.89 | $9,332.54 | |
Medica
| Professional | $1,778.28 | $2,884.03 | $7,413.10 | |
United
| Facility | $5,248.07 | $6,309.57 | $10,964.78 | |
United
| Professional | $208.93 | $1,047.13 | $3,235.94 |