| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | $33.11 | $33.11 | $33.11 | |
United
| Professional | $18.20 | $24.55 | $38.02 | |
Well Sense
| Facility | $15.14 | $15.14 | $15.14 | |
Well Sense
| Professional | $15.14 | $15.14 | $15.14 |