| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $15,848.93 | $15,848.93 | $15,848.93 | |
Anthem BCBS
| Facility | $15,848.93 | $20,892.96 | $30,902.95 | |
Cigna
| Facility | $8,709.64 | $16,218.10 | $21,379.62 | |
Hometown Health
| Facility | $10,471.29 | $10,471.29 | $18,197.01 | |
United
| Facility | $20,417.38 | $20,417.38 | $36,307.81 |