| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | $141.25 | $208.93 | $302.00 | |
CareSource
| Facility | $97.72 | $173.78 | $3,388.44 | |
CareSource
| Professional | $97.72 | $123.03 | $1,778.28 | |
United
| Professional | $316.23 | $398.11 | $630.96 |