| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | $26.30 | $30.20 | $31.62 | |
Hometown Health
| Professional | $0.59 | $43.65 | $66.07 | |
Hometown Health
| Professional | $0.59 | $0.59 | $60.26 | |
United
| Professional | $27.54 | $45.71 | $67.61 |