| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $156.30 | $156.30 | $156.30 | |
Cigna
| Facility | $38.00 | $93.00 | $103.00 | |
Oscar Health
| Facility | $209.91 | $216.91 | $279.41 | |
Priority Health
| Facility | $38.00 | $93.00 | $103.00 |