| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $58.57 | $96.48 | $223.83 | |
Christus
| Facility | $15.00 | $244.95 | $244.95 | |
Moda Health
| Facility | $589.13 | $589.13 | $589.13 | |
Oscar Health
| Facility | $592.39 | $1,150.55 | $2,483.00 |