| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $524.00 | $3,596.00 | $10,836.00 | |
BCBS
| Facility | $1,100.00 | $12,554.00 | $18,738.00 | |
Christus
| Facility | $301.52 | $301.52 | $301.52 | |
Lucent Health
| Facility | $55.00 | $55.00 | $1,553.20 | |
Moda Health
| Facility | $340.66 | $440.41 | $812.20 | |
Providence
| Facility | $348.57 | $460.56 | $857.24 | |
United
| Facility | $157.00 | $950.00 | $2,376.00 |