| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $12.95 | $39.57 | $109.91 | |
Cigna
| Facility | $1,169.00 | $1,169.00 | $1,169.00 | |
Highmark BCBS
| Facility | $4.09 | $79.20 | $171.49 | |
Oscar Health
| Facility | $38.10 | $39.36 | $54.77 | |
Priority Health
| Facility | $1,169.00 | $1,169.00 | $1,169.00 |