| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $65.47 | $94.19 | $172.68 | |
Cigna
| Facility | $874.00 | $874.00 | $874.00 | |
Oscar Health
| Facility | $168.50 | $184.93 | $226.79 | |
Priority Health
| Facility | $874.00 | $874.00 | $874.00 |