| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $42.85 | $133.25 | $343.82 | |
Anthem BCBS
| Facility | $112.00 | $166.00 | $195.00 | |
Cigna
| Facility | $105.00 | $270.00 | $280.00 | |
Medical Mutual of Ohio
| Facility | $105.00 | $270.00 | $270.00 |