| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Christus
| Facility | $12.00 | $18.00 | $45.00 | |
Lucent Health
| Facility | $331.00 | $331.00 | $331.00 | |
Moda Health
| Facility | $29.33 | $29.33 | $29.33 | |
Oscar Health
| Facility | $42.47 | $57.43 | $308.82 |