| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $12.12 | $23.89 | $54.12 | |
Cigna
| Facility | $1,169.00 | $1,169.00 | $1,169.00 | |
Highmark BCBS
| Facility | $12.84 | $48.89 | $134.86 | |
Priority Health
| Facility | $1,169.00 | $1,169.00 | $1,169.00 |