| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $74.45 | $106.26 | $195.52 | |
Cigna
| Facility | $874.00 | $874.00 | $874.00 | |
Oscar Health
| Facility | $386.65 | $421.85 | $549.19 | |
Priority Health
| Facility | $874.00 | $874.00 | $874.00 |