| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $117.23 | $194.31 | $382.36 | |
Cigna
| Facility | $874.00 | $874.00 | $874.00 | |
Highmark BCBS
| Facility | $84.41 | $263.77 | $777.65 | |
Oscar Health
| Facility | $161.12 | $169.49 | $219.40 | |
Priority Health
| Facility | $874.00 | $874.00 | $874.00 |