| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $212.15 | $332.79 | $917.79 | |
Cigna
| Facility | $412.00 | $600.00 | $1,056.00 | |
Qualchoice
| Facility | $237.90 | $433.14 | $1,147.24 | |
United
| Facility | $516.00 | $516.00 | $516.00 |