| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | $7.94 | $7.94 | $28.84 | |
Capital Blue Cross
| Facility | $5,011.87 | $8,511.38 | $77,624.71 | |
Capital Blue Cross
| Professional | $64,565.42 | $64,565.42 | $64,565.42 | |
Cigna
| Professional | $426.58 | $426.58 | $426.58 |