| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $488.00 | $2,107.00 | $6,762.00 | |
BCBS
| Facility | $675.89 | $1,249.60 | $2,664.27 | |
Christus
| Facility | $42.20 | $42.20 | $682.81 | |
Cigna
| Facility | $544.67 | $722.59 | $1,652.00 | |
Lucent Health
| Facility | $55.00 | $55.00 | $1,151.97 | |
Moda Health
| Facility | $48.74 | $564.02 | $1,199.75 | |
Providence
| Facility | $48.77 | $596.05 | $1,280.58 | |
United
| Facility | $597.00 | $2,045.00 | $4,480.00 |