| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $1,563.46 | $1,563.46 | $1,563.46 | |
Christus
| Facility | $26.00 | $28.00 | $40.00 | |
Cigna
| Facility | $4,709.00 | $4,709.00 | $4,709.00 | |
United
| Facility | $19,086.00 | $19,086.00 | $19,086.00 |