| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | $194.98 | $194.98 | $194.98 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Facility | $1,380.38 | $4,570.88 | $7,943.28 | |
United
| Professional | $223.87 | $1,698.24 | $4,786.30 |