| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $28.18 | $70.79 | $218.78 | |
Christus
| Facility | $12.02 | $26.92 | $77.62 | |
Cigna
| Facility | $707.95 | $707.95 | $707.95 | |
Oscar Health
| Facility | $257.04 | $316.23 | $354.81 | |
Providence
| Facility | $707.95 | $707.95 | $707.95 |