| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $79.25 | $108.54 | $156.75 | |
BCBS
| Facility | $131.66 | $131.66 | $163.06 | |
Cigna
| Facility | $75.00 | $98.62 | $313.10 | |
Health Alliance Plan
| Facility | $15.00 | $25.00 | $125.18 | |
Molina
| Facility | $100.00 | $100.00 | $100.00 |