| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $948.88 | $948.88 | $948.88 | |
Cigna
| Facility | $874.00 | $874.00 | $874.00 | |
Oscar Health
| Facility | $164.84 | $170.33 | $219.40 | |
Priority Health
| Facility | $874.00 | $874.00 | $874.00 |