| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $649.00 | $2,594.00 | $7,542.00 | |
BCBS
| Facility | $424.87 | $711.01 | $3,637.78 | |
Christus
| Facility | $371.99 | $371.99 | $371.99 | |
Lucent Health
| Facility | $55.00 | $55.00 | $4,153.59 | |
Lucent Health
| Facility | AS | $91.53 | $187.11 | $195.45 |
Moda Health
| Facility | $396.63 | $469.76 | $957.03 | |
Providence
| Facility | $396.63 | $471.89 | $1,050.31 | |
United
| Facility | $385.00 | $2,064.00 | $8,759.00 |