| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $737.00 | $737.00 | $737.00 | |
Ambetter
| Facility | $106.51 | $106.51 | $1,147.22 | |
Christus
| Facility | $12.00 | $18.00 | $45.00 | |
Oscar Health
| Facility | $665.00 | $881.27 | $1,418.00 |