| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $76.90 | $372.73 | $1,229.20 | |
Christus
| Facility | $15.00 | $403.41 | $403.41 | |
Moda Health
| Facility | $72.47 | $558.38 | $2,233.80 | |
Oscar Health
| Facility | $2,048.42 | $2,777.06 | $12,361.00 |