| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $85.11 | $151.36 | $275.42 | |
Christus
| Facility | $12.02 | $16.98 | $32.36 | |
Cigna
| Facility | $371.54 | $524.81 | $954.99 | |
Oscar Health
| Facility | $120.23 | $128.82 | $954.99 | |
Providence
| Facility | $371.54 | $501.19 | $954.99 |