| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | $602.56 | $851.14 | $7,079.46 | |
Medica
| Facility | $794.33 | $8,128.31 | $19,498.45 | |
Medica
| Professional | $9,332.54 | $13,182.57 | $64,565.42 | |
United
| Facility | $3,162.28 | $10,715.19 | $15,488.17 | |
United
| Professional | $645.65 | $8,128.31 | $15,135.61 |