| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $94.47 | $101.06 | $386.70 | |
BCBS
| Facility | $30.41 | $371.96 | $1,613.62 | |
Lucent Health
| Facility | $100.00 | $1,200.00 | $1,230.00 | |
Optum
| Facility | $172.00 | $172.00 | $172.00 |