| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $969.00 | $3,596.00 | $10,836.00 | |
Christus
| Facility | $1,234.58 | $1,234.58 | $1,234.58 | |
Lucent Health
| Facility | $55.00 | $55.00 | $24,233.28 | |
Moda Health
| Facility | $1,413.45 | $1,815.61 | $3,072.92 | |
Providence
| Facility | $1,413.45 | $1,844.18 | $3,449.56 | |
United
| Facility | $385.00 | $2,064.00 | $8,759.00 |