| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $827.00 | $1,564.00 | $1,677.00 | |
Ambetter
| Facility | $50.00 | $133.69 | $203.67 | |
Christus
| Facility | $12.00 | $19.00 | $45.00 | |
Lucent Health
| Facility | $423.00 | $1,400.00 | $1,400.00 | |
Oscar Health
| Facility | $32.40 | $46.53 | $235.66 |