| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $215.31 | $2,128.00 | $7,316.00 | |
Christus
| Facility | $120.22 | $120.22 | $163.89 | |
Lucent Health
| Facility | $655.93 | $12,000.00 | $12,000.00 | |
Moda Health
| Facility | $129.97 | $165.64 | $240.98 | |
Providence
| Facility | $129.97 | $165.64 | $259.79 | |
United
| Facility | $161.00 | $950.00 | $2,290.00 |