| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $416.87 | $2,041.74 | $6,025.60 | |
Medica
| Facility | $89.13 | $776.25 | $3,467.37 | |
Oscar Health
| Facility | $7,079.46 | $7,244.36 | $8,128.31 | |
United
| Facility | $19,952.62 | $19,952.62 | $19,952.62 |