| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $3,981.07 | $5,011.87 | $8,912.51 | |
Christus
| Facility | $12.02 | $16.98 | $32.36 | |
Cigna
| Facility | $1,096.48 | $1,096.48 | $1,122.02 | |
Providence
| Facility | $1,122.02 | $1,122.02 | $1,122.02 |