| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.10 | $2,124.00 | $6,762.00 | |
Christus
| Facility | $53.16 | $53.16 | $53.16 | |
Lucent Health
| Facility | $55.00 | $55.00 | $471.24 | |
Moda Health
| Facility | $59.57 | $91.18 | $164.60 | |
Providence
| Facility | $59.57 | $91.94 | $168.63 | |
United
| Facility | $369.00 | $1,527.00 | $3,287.00 |