| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $921.00 | $3,553.00 | $10,836.00 | |
Christus
| Facility | $1,575.19 | $1,575.19 | $1,575.19 | |
Lucent Health
| Facility | $55.00 | $55.00 | $31,044.16 | |
Moda Health
| Facility | $1,812.38 | $2,448.19 | $3,959.21 | |
Providence
| Facility | $1,812.38 | $2,507.39 | $4,454.39 | |
United
| Facility | $385.00 | $2,064.00 | $8,759.00 |