| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Christus
| Facility | $12.00 | $18.00 | $45.00 | |
Moda Health
| Facility | $270.39 | $386.46 | $580.45 | |
Oscar Health
| Facility | $1,453.03 | $2,499.00 | $3,730.00 | |
United
| Facility | $4,000.00 | $4,000.00 | $4,000.00 |