| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $25.80 | $62.69 | $193.22 | |
Cigna
| Facility | $1,169.00 | $1,169.00 | $1,169.00 | |
Highmark BCBS
| Facility | $19.39 | $61.70 | $335.11 | |
Oscar Health
| Facility | $198.94 | $209.92 | $819.61 | |
Priority Health
| Facility | $1,169.00 | $1,169.00 | $1,169.00 |