| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $294.19 | $294.19 | $294.19 | |
Christus
| Facility | $12.00 | $18.00 | $45.00 | |
Cigna
| Facility | $1,086.00 | $1,133.00 | $1,133.00 | |
Oscar Health
| Facility | $8,272.20 | $12,303.80 | $41,938.58 | |
Providence
| Facility | $1,133.00 | $1,133.00 | $1,133.00 |