| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $175.54 | $2,124.00 | $6,762.00 | |
BCBS
| Facility | $344.98 | $786.56 | $3,989.00 | |
Christus
| Facility | $76.69 | $76.69 | $122.40 | |
Lucent Health
| Facility | $427.98 | $12,000.00 | $12,000.00 | |
Lucent Health
| Facility | AS | $40.57 | $42.80 | $42.80 |
Moda Health
| Facility | $84.12 | $112.89 | $172.34 | |
Providence
| Facility | $84.12 | $112.89 | $177.72 | |
United
| Facility | $161.00 | $950.00 | $2,290.00 |