| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $150.00 | $150.00 | $150.00 | |
Ambetter
| Facility | $104.88 | $358.69 | $508.73 | |
Christus
| Facility | $15.00 | $696.48 | $696.48 | |
Moda Health
| Facility | $124.75 | $124.75 | $435.40 | |
Oscar Health
| Facility | $14.11 | $22.13 | $168.93 |