| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $91.49 | $181.59 | $277.64 | |
Christus
| Facility | $12.00 | $18.00 | $45.00 | |
Moda Health
| Facility | $0.51 | $9.80 | $369.29 | |
Oscar Health
| Facility | $639.00 | $1,251.40 | $1,904.30 |