| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Christus
| Facility | $12.00 | $19.00 | $55.00 | |
Lucent Health
| Facility | $375.00 | $1,050.00 | $1,250.00 | |
Oscar Health
| Facility | $56.00 | $65.00 | $117.67 | |
Providence
| Facility | $180.00 | $180.00 | $250.00 |