| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $53.70 | $147.91 | $275.42 | |
Anthem BCBS
| Facility | $141.25 | $309.03 | $309.03 | |
Cigna
| Facility | $151.36 | $346.74 | $371.54 | |
Oscar Health
| Facility | $107.15 | $645.65 | $645.65 |