| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $2,200.79 | $2,200.79 | $2,200.79 | |
Christus
| Facility | $26.00 | $28.00 | $40.00 | |
Cigna
| Facility | $4,709.00 | $4,709.00 | $4,709.00 | |
United
| Facility | $13,566.00 | $13,566.00 | $13,566.00 |