| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $27.35 | $43.22 | $62.73 | |
Christus
| Facility | $12.00 | $19.00 | $55.00 | |
Lucent Health
| Facility | $160.00 | $160.00 | $160.00 | |
Oscar Health
| Facility | $19.05 | $33.52 | $138.52 |