| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Christus
| Facility | $12.00 | $18.00 | $45.00 | |
Lucent Health
| Facility | $2,360.00 | $2,360.00 | $2,360.00 | |
Moda Health
| Facility | $31.00 | $31.00 | $31.00 | |
Oscar Health
| Facility | $1,601.00 | $2,437.58 | $3,772.29 |