| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $497.00 | $497.00 | $497.00 | |
Ambetter
| Facility | $77.59 | $162.76 | $247.89 | |
Christus
| Facility | $15.00 | $362.18 | $362.18 | |
Moda Health
| Facility | $20.78 | $512.10 | $1,633.80 | |
Oscar Health
| Facility | $2,048.42 | $2,827.54 | $7,319.86 |