| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $661.22 | $661.22 | $661.22 | |
Christus
| Facility | $12.00 | $18.00 | $45.00 | |
Lucent Health
| Facility | $425.00 | $425.00 | $425.00 | |
Oscar Health
| Facility | $614.52 | $907.37 | $2,207.00 |