| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $487.34 | $1,295.39 | $2,421.13 | |
Cigna
| Facility | $529.00 | $534.00 | $2,010.00 | |
Oscar Health
| Facility | $110.13 | $880.26 | $1,228.46 | |
Priority Health
| Facility | $529.00 | $534.00 | $874.00 |