| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,241.00 | $4,028.00 | $9,825.00 | |
BCBS
| Facility | $1,857.20 | $3,095.33 | $7,984.56 | |
Christus
| Facility | $1,618.96 | $1,618.96 | $1,618.96 | |
Lucent Health
| Facility | $55.00 | $55.00 | $13,858.88 | |
Moda Health
| Facility | $1,701.75 | $2,044.89 | $4,101.31 | |
Providence
| Facility | $1,701.75 | $2,054.17 | $4,543.64 | |
United
| Facility | $385.00 | $2,064.00 | $8,759.00 |