| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $488.00 | $2,172.00 | $7,513.00 | |
BCBS
| Facility | $1,572.20 | $2,436.91 | $4,277.00 | |
Christus
| Facility | $66.43 | $66.43 | $66.43 | |
Lucent Health
| Facility | $55.00 | $55.00 | $358.77 | |
Moda Health
| Facility | $71.86 | $89.84 | $162.72 | |
Providence
| Facility | $71.86 | $91.81 | $192.21 | |
United
| Facility | $157.00 | $950.00 | $2,376.00 |