| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $3,715.35 | $12,882.50 | |
Christus
| Facility | $1,230.27 | $1,230.27 | $1,230.27 | |
Lucent Health
| Facility | $54.95 | $56.23 | $23,988.33 | |
Moda Health
| Facility | $1,230.27 | $2,089.30 | $5,248.07 | |
Providence
| Facility | $1,412.54 | $1,905.46 | $3,235.94 | |
United
| Facility | $436.52 | $2,454.71 | $10,232.93 |