| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $3,002.88 | $4,886.53 | $8,837.91 | |
Christus
| Facility | $12.00 | $18.00 | $45.00 | |
Cigna
| Facility | $1,086.00 | $1,133.00 | $1,133.00 | |
Providence
| Facility | $1,133.00 | $1,133.00 | $1,133.00 |