| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $474.00 | $520.00 | $578.00 | |
Ambetter
| Facility | $292.45 | $453.22 | $711.20 | |
Christus
| Facility | $15.00 | $214.58 | $214.58 | |
Oscar Health
| Facility | $765.59 | $1,150.16 | $2,975.12 |