| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $293.50 | $2,128.00 | $7,513.00 | |
BCBS
| Facility | $706.48 | $1,274.92 | $2,687.89 | |
Christus
| Facility | $80.00 | $99.59 | $100.76 | |
Cigna
| Facility | $186.13 | $186.13 | $186.13 | |
Lucent Health
| Facility | $55.00 | $55.00 | $530.91 | |
Moda Health
| Facility | $105.22 | $228.32 | $384.54 | |
Providence
| Facility | $105.25 | $228.32 | $395.10 | |
United
| Facility | $374.00 | $1,529.00 | $3,400.00 |