| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,174.90 | $3,981.07 | $14,454.40 | |
Christus
| Facility | $1,584.89 | $1,584.89 | $1,584.89 | |
Lucent Health
| Facility | $54.95 | $56.23 | $21,379.62 | |
Moda Health
| Facility | $1,071.52 | $3,311.31 | $8,912.51 | |
Providence
| Facility | $1,659.59 | $2,238.72 | $4,365.16 | |
United
| Facility | $436.52 | $2,454.71 | $10,232.93 |