| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $99.81 | $2,444.00 | $7,495.00 | |
BCBS
| Facility | $732.99 | $1,596.51 | $8,179.00 | |
Christus
| Facility | $42.68 | $42.68 | $42.68 | |
Lucent Health
| Facility | $55.00 | $55.00 | $230.23 | |
Moda Health
| Facility | $50.52 | $77.88 | $146.69 | |
Providence
| Facility | $50.52 | $79.65 | $161.41 | |
United
| Facility | $157.00 | $949.00 | $2,287.00 |