| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $106.06 | $131.27 | $173.56 | |
BCBS
| Facility | $43.00 | $50.00 | $92.00 | |
Cigna
| Facility | $58.22 | $92.00 | $313.10 | |
Health Alliance Plan
| Facility | $63.81 | $125.00 | $125.00 | |
Molina
| Facility | $100.00 | $100.00 | $100.00 |