| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $459.29 | $459.29 | $481.47 | |
AmeriHealth
| Facility | $855.00 | $1,170.00 | $1,666.05 | |
Cigna
| Facility | $744.18 | $1,780.63 | $5,948.21 | |
United
| Facility | $620.00 | $620.00 | $645.00 |