| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Christus
| Facility | $15.00 | $17.02 | $45.00 | |
Lucent Health
| Facility | $2,323.00 | $2,323.00 | $2,323.00 | |
Moda Health
| Facility | $9.94 | $43.13 | $152.37 | |
Oscar Health
| Facility | $106.84 | $180.87 | $1,064.16 | |
United
| Facility | $4,000.00 | $4,000.00 | $4,000.00 |