| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $798.83 | $798.83 | $798.83 | |
Cigna
| Facility | $195.00 | $195.00 | $195.00 | |
Oscar Health
| Facility | $461.87 | $477.26 | $610.04 | |
Priority Health
| Facility | $195.00 | $195.00 | $195.00 |