| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $9,355.02 | $9,355.02 | $9,958.19 | |
Capital Blue Cross
| Facility | $2,299.82 | $2,805.00 | $3,467.00 | |
Cigna
| Facility | $874.00 | $874.00 | $874.00 | |
Priority Health
| Facility | $874.00 | $874.00 | $874.00 |