| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $570.00 | $808.00 | $957.00 | |
Christus
| Facility | $12.00 | $19.00 | $45.00 | |
Lucent Health
| Facility | $265.00 | $1,917.00 | $1,917.00 | |
Oscar Health
| Facility | $40.00 | $200.00 | $550.00 | |
Providence
| Facility | $175.00 | $175.00 | $175.00 |