| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $6.03 | $11.48 | $69.18 | |
Christus
| Facility | $12.02 | $26.92 | $309.03 | |
Cigna
| Facility | $707.95 | $707.95 | $707.95 | |
Oscar Health
| Facility | $7,413.10 | $15,848.93 | $17,782.79 | |
Providence
| Facility | $707.95 | $707.95 | $707.95 |