| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $812.83 | $3,548.13 | $12,022.64 | |
BCBS
| Facility | $1,380.38 | $2,691.53 | $5,128.61 | |
Christus
| Facility | $104.71 | $104.71 | $104.71 | |
Lucent Health
| Facility | $54.95 | $56.23 | $7,943.28 | |
Moda Health
| Facility | $131.83 | $1,862.09 | $6,918.31 | |
Providence
| Facility | $112.20 | $154.88 | $288.40 | |
United
| Facility | $436.52 | $1,819.70 | $6,025.60 |