| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $927.53 | $3,596.00 | $10,836.00 | |
Christus
| Facility | $941.92 | $941.92 | $941.92 | |
Lucent Health
| Facility | $55.00 | $55.00 | $11,526.13 | |
Moda Health
| Facility | $934.69 | $1,188.63 | $2,121.63 | |
Providence
| Facility | $934.69 | $1,212.40 | $2,632.70 | |
United
| Facility | $385.00 | $2,064.00 | $8,759.00 |