| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | 26 | $19.05 | $23.44 | $34.67 |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $70.79 | $97.72 | $181.97 | |
United
| Professional | 26 | $17.78 | $23.44 | $35.48 |
United
| Professional | TC | $50.12 | $74.13 | $151.36 |