| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $467.74 | $512.86 | $512.86 | |
Ambetter
| Facility | $85.11 | $158.49 | $309.03 | |
Christus
| Facility | $12.02 | $26.92 | $346.74 | |
Moda Health
| Facility | $467.74 | $512.86 | $512.86 | |
Oscar Health
| Facility | $2,511.89 | $5,370.32 | $5,623.41 |