| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $537.03 | $2,454.71 | $6,918.31 | |
BCBS
| Facility | $1,023.29 | $3,890.45 | $8,511.38 | |
Christus
| Facility | $36.31 | $36.31 | $275.42 | |
Lucent Health
| Facility | $54.95 | $56.23 | $891.25 | |
Moda Health
| Facility | $38.90 | $363.08 | $3,715.35 | |
Providence
| Facility | $37.15 | $213.80 | $426.58 | |
United
| Facility | $158.49 | $1,047.13 | $2,691.53 |