| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $11.82 | $66.02 | $173.77 | |
Cigna
| Facility | $1,169.00 | $1,169.00 | $1,169.00 | |
Highmark BCBS
| Facility | $6.28 | $25.61 | $95.99 | |
Oscar Health
| Facility | $577.33 | $611.79 | $814.50 | |
Priority Health
| Facility | $1,169.00 | $1,169.00 | $1,169.00 |