| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $540.58 | $817.33 | $1,310.83 | |
Christus
| Facility | $15.00 | $1,749.19 | $1,749.19 | |
Lucent Health
| Facility | $10,285.00 | $30,455.00 | $30,455.00 | |
Oscar Health
| Facility | $238.04 | $418.86 | $693.75 |