| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.23 | $2,000.00 | $6,691.00 | |
BCBS
| Facility | $344.98 | $786.56 | $3,989.00 | |
Christus
| Facility | $38.97 | $38.97 | $77.37 | |
Lucent Health
| Facility | $212.14 | $12,000.00 | $12,000.00 | |
Lucent Health
| Facility | AS | $20.13 | $21.21 | $21.21 |
Moda Health
| Facility | $42.32 | $64.34 | $100.59 | |
Providence
| Facility | $42.32 | $64.34 | $101.67 | |
United
| Facility | $161.00 | $950.00 | $2,290.00 |