| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $488.00 | $2,124.00 | $7,513.00 | |
BCBS
| Facility | $4,353.00 | $6,752.00 | $14,275.00 | |
Christus
| Facility | $184.57 | $184.57 | $184.57 | |
Lucent Health
| Facility | $55.00 | $55.00 | $2,056.57 | |
Moda Health
| Facility | $214.93 | $935.68 | $2,212.38 | |
Providence
| Facility | $214.93 | $1,083.44 | $3,340.58 | |
United
| Facility | $2,605.00 | $7,123.00 | $26,429.00 |