| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $142.00 | $2,107.00 | $7,316.00 | |
BCBS
| Facility | $714.60 | $1,291.16 | $2,823.16 | |
Christus
| Facility | $81.11 | $673.36 | $673.36 | |
Cigna
| Facility | $146.47 | $146.47 | $146.47 | |
Lucent Health
| Facility | $55.00 | $55.00 | $413.87 | |
Moda Health
| Facility | $82.35 | $132.35 | $223.35 | |
Providence
| Facility | $82.37 | $132.78 | $231.49 | |
United
| Facility | $374.00 | $1,529.00 | $3,400.00 |