| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $187.57 | $187.57 | $187.57 | |
Christus
| Facility | $15.00 | $253.91 | $253.91 | |
Cigna
| Facility | $185.00 | $185.00 | $185.00 | |
Oscar Health
| Facility | $22.28 | $31.99 | $167.18 |
Clinic-Pediatric Clinic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $187.57 | $187.57 | $187.57 | |
Christus
| Facility | $15.00 | $253.91 | $253.91 | |
Cigna
| Facility | $185.00 | $185.00 | $185.00 | |
Oscar Health
| Facility | $22.28 | $31.99 | $167.18 |