| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $6.61 | $38.90 | $245.47 | |
Christus
| Facility | $12.02 | $26.92 | $218.78 | |
Cigna
| Facility | $707.95 | $707.95 | $707.95 | |
Oscar Health
| Facility | $23.44 | $66.07 | $74.13 | |
Providence
| Facility | $707.95 | $707.95 | $707.95 |