| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $36.31 | $162.18 | $870.96 | |
Christus
| Facility | $12.02 | $16.98 | $32.36 | |
Cigna
| Facility | $707.95 | $707.95 | $707.95 | |
Oscar Health
| Facility | $1,584.89 | $2,951.21 | $4,677.35 | |
Providence
| Facility | $707.95 | $707.95 | $707.95 |