| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $690.06 | $690.06 | $690.06 | |
Christus
| Facility | $12.00 | $18.00 | $45.00 | |
Cigna
| Facility | $700.00 | $700.00 | $700.00 | |
Oscar Health
| Facility | $177.71 | $1,900.12 | $3,049.00 | |
Providence
| Facility | $700.00 | $700.00 | $700.00 |