| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $508.18 | $572.34 | $738.44 | |
Christus
| Facility | $12.00 | $18.00 | $45.00 | |
Cigna
| Facility | $1,086.00 | $1,133.00 | $1,133.00 | |
Oscar Health
| Facility | $479.21 | $2,499.00 | $5,737.47 | |
Providence
| Facility | $1,133.00 | $1,133.00 | $1,133.00 |