| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $121.01 | $282.74 | $1,513.57 | |
Christus
| Facility | $12.00 | $18.00 | $45.00 | |
Moda Health
| Facility | $2,472.46 | $2,472.46 | $2,472.46 | |
Oscar Health
| Facility | $172.66 | $234.17 | $826.45 |