| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $1.05 | $100.00 | $100.00 | |
Moda Health
| Facility | $1.25 | $5.75 | $37.58 | |
Oscar Health
| Facility | $2,499.00 | $3,419.00 | $17,215.78 | |
Providence
| Facility | $0.07 | $0.07 | $0.07 | |
United
| Facility | $1.20 | $1.20 | $1.20 |