| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $4.65 | $29.84 | $195.23 | |
Christus
| Facility | $12.00 | $18.00 | $45.00 | |
Oscar Health
| Facility | $119.32 | $166.11 | $424.35 | |
United
| Facility | $4,000.00 | $4,000.00 | $4,000.00 |