| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $7.15 | $26.53 | $130.16 | |
Christus
| Facility | $15.00 | $220.17 | $220.17 | |
Cigna
| Facility | $700.00 | $700.00 | $700.00 | |
Oscar Health
| Facility | $23.68 | $32.40 | $146.36 | |
Providence
| Facility | $700.00 | $700.00 | $700.00 |