| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $80.14 | $153.82 | $1,324.95 | |
Christus
| Facility | $28.00 | $115.68 | $115.68 | |
Cigna
| Facility | $165.00 | $165.00 | $165.00 |
Clinic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $80.14 | $153.82 | $1,324.95 | |
Christus
| Facility | $28.00 | $115.68 | $115.68 | |
Cigna
| Facility | $165.00 | $165.00 | $165.00 |