| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $870.96 | $1,258.93 | $1,288.25 | |
AmeriHealth
| Facility | $1,380.38 | $1,380.38 | $1,380.38 | |
Horizon BCBS
| Facility | $1.20 | $45.71 | $1,819.70 | |
United
| Facility | $602.56 | $794.33 | $2,290.87 |