| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $280.55 | $3,102.00 | $10,836.00 | |
BCBS
| Facility | $1,336.08 | $2,476.51 | $6,612.00 | |
Christus
| Facility | $116.41 | $116.41 | $213.57 | |
Lucent Health
| Facility | $641.73 | $26,542.00 | $26,542.00 | |
Moda Health
| Facility | $122.89 | $198.07 | $364.84 | |
Providence
| Facility | $122.89 | $198.63 | $380.41 | |
United
| Facility | $161.00 | $950.00 | $2,290.00 |