| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Christus
| Facility | $15.00 | $114.74 | $114.74 | |
Moda Health
| Facility | $1.40 | $43.05 | $324.80 | |
Oscar Health
| Facility | $378.16 | $602.38 | $2,014.54 | |
United
| Facility | $4,000.00 | $4,000.00 | $4,000.00 |