| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $380.57 | $881.96 | $2,471.69 | |
Aetna
| Professional | $302.04 | $332.24 | $427.89 | |
BCBS
| Professional | $427.89 | $503.40 | $503.40 | |
Christus
| Facility | $503.40 | $503.40 | $503.40 | |
Cigna
| Facility | $323.64 | $1,001.26 | $2,243.65 | |
Cigna
| Professional | $263.85 | $613.72 | $767.15 | |
Lucent Health
| Facility | $805.44 | $2,391.15 | $2,391.15 | |
Moda Health
| Facility | $317.14 | $503.40 | $553.74 | |
Moda Health
| Professional | $453.06 | $503.40 | $503.40 | |
Providence
| Facility | $330.99 | $503.40 | $699.73 | |
Providence
| Professional | $263.85 | $478.23 | $528.57 | |
United
| Facility | $181.22 | $211.43 | $503.40 | |
United
| Professional | $211.43 | $211.43 | $302.04 | |
Wellpoint
| Professional | $28.15 | $28.88 | $503.40 |