| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Christus
| Facility | $12.00 | $19.00 | $55.00 | |
Moda Health
| Facility | $10.71 | $112.00 | $160.00 | |
Oscar Health
| Facility | $410.55 | $563.52 | $1,403.23 | |
United
| Facility | $4,000.00 | $4,000.00 | $4,000.00 |