| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $33.11 | $45.71 | $70.79 | |
BCBS
| Facility | $1,905.46 | $2,137.96 | $4,073.80 | |
Hally Health
| Facility | $100.00 | $199.53 | $346.74 | |
United
| Facility | $67.61 | $125.89 | $190.55 |