| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $35.99 | $87.42 | $538.80 | |
Cigna
| Facility | $1,169.00 | $1,169.00 | $1,169.00 | |
Highmark BCBS
| Facility | $10.09 | $18.85 | $82.79 | |
Oscar Health
| Facility | $83.03 | $85.79 | $119.35 | |
Priority Health
| Facility | $1,169.00 | $1,169.00 | $1,169.00 |