| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $53.06 | $139.21 | $332.50 | |
Christus
| Facility | $12.00 | $19.00 | $55.00 | |
Lucent Health
| Facility | $1,000.00 | $1,000.00 | $1,000.00 | |
Moda Health
| Facility | $124.06 | $127.36 | $237.29 |