| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $99.84 | $105.30 | $107.15 | |
Aetna
| Professional | $41.61 | $63.90 | $104.54 | |
BCBS
| Professional | $41.52 | $41.52 | $41.52 | |
Christus
| Facility | $80.00 | $80.00 | $80.00 | |
Cigna
| Facility | $95.52 | $101.75 | $105.93 | |
Cigna
| Professional | $96.75 | $96.75 | $134.90 | |
Lucent Health
| Facility | $102.62 | $256.64 | $259.01 | |
Lucent Health
| Professional | $564.65 | $564.65 | $564.65 | |
Moda Health
| Facility | $38.38 | $58.24 | $110.36 | |
Moda Health
| Professional | $36.52 | $36.52 | $46.06 | |
Providence
| Facility | $40.29 | $66.56 | $115.83 | |
Providence
| Professional | $46.06 | $134.90 | $136.81 | |
United
| Professional | $40.10 | $53.06 | $86.84 | |
Wellpoint
| Professional | $45.08 | $46.30 | $62.68 |