| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | $660.69 | $660.69 | $660.69 | |
Hometown Health
| Professional | $5.25 | $933.25 | $1,380.38 | |
Hometown Health
| Professional | $3.47 | $275.42 | $1,122.02 | |
United
| Professional | $229.09 | $977.24 | $1,819.70 |