| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | $7.41 | $10.47 | $24.55 | |
Capital Blue Cross
| Facility | $5,011.87 | $8,511.38 | $77,624.71 | |
Capital Blue Cross
| Professional | $19.05 | $19.05 | $19.05 | |
Cigna
| Professional | $23.99 | $23.99 | $30.20 | |
Emblem Health
| Professional | $5.01 | $5.01 | $5.01 | |
United
| Professional | $26.92 | $26.92 | $26.92 |