| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $456.12 | $479.53 | $813.32 | |
Christus
| Facility | $15.00 | $90.23 | $90.23 | |
Lucent Health
| Facility | $423.00 | $600.00 | $600.00 | |
Oscar Health
| Facility | $7.91 | $13.91 | $57.50 | |
United
| Facility | $4,000.00 | $4,000.00 | $4,000.00 |