| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $727.00 | $3,186.00 | $10,893.00 | |
BCBS
| Facility | $1,402.77 | $2,609.81 | $6,084.11 | |
Christus
| Facility | $199.66 | $199.66 | $199.66 | |
Lucent Health
| Facility | $55.00 | $55.00 | $7,984.00 | |
Moda Health
| Facility | $217.65 | $272.83 | $516.47 | |
Providence
| Facility | $217.65 | $276.88 | $528.66 | |
United
| Facility | $421.00 | $1,698.00 | $5,976.00 |