| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $138.04 | $245.47 | $281.84 | |
Cigna
| Facility | $165.96 | $457.09 | $457.09 | |
Oscar Health
| Facility | $912.01 | $1,949.84 | $1,949.84 | |
United
| Facility | $676.08 | $1,348.96 | $1,348.96 |