| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $131.83 | $131.83 | $162.18 | |
Capital Blue Cross
| Facility | $25,118.86 | $32,359.37 | $43,651.58 | |
Highmark BCBS
| Facility | $30.90 | $134.90 | $1,412.54 | |
Oscar Health
| Facility | $134.90 | $229.09 | $331.13 | |
United
| Facility | $2,884.03 | $2,884.03 | $5,370.32 |