| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $442.32 | $3,596.00 | $12,040.00 | |
BCBS
| Facility | $287.44 | $497.13 | $2,517.58 | |
Christus
| Facility | $251.86 | $251.86 | $251.86 | |
Lucent Health
| Facility | $55.00 | $55.00 | $1,332.36 | |
Lucent Health
| Facility | AS | $59.73 | $133.24 | $133.24 |
Moda Health
| Facility | $260.39 | $393.26 | $771.49 | |
Providence
| Facility | $260.39 | $397.20 | $771.49 | |
Providence
| Facility | AS | $90.97 | $90.97 | $90.97 |
United
| Facility | $385.00 | $2,064.00 | $8,759.00 |