| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $387.88 | $387.88 | $387.88 | |
Cigna
| Facility | $529.00 | $534.00 | $2,010.00 | |
Oscar Health
| Facility | $77,119.59 | $79,690.24 | $110,820.24 | |
Priority Health
| Facility | $529.00 | $534.00 | $874.00 |