| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Christus
| Facility | $15.00 | $43.56 | $45.00 | |
Moda Health
| Facility | $3.00 | $11.38 | $41.03 | |
Oscar Health
| Facility | $41.87 | $66.27 | $324.08 | |
United
| Facility | $4,000.00 | $4,000.00 | $4,000.00 |