| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $26.61 | $77.59 | $326.14 | |
Christus
| Facility | $12.00 | $18.00 | $45.00 | |
Cigna
| Facility | $700.00 | $700.00 | $700.00 | |
Oscar Health
| Facility | $51.61 | $70.62 | $169.38 | |
Providence
| Facility | $700.00 | $700.00 | $700.00 |