| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $403.24 | $3,682.00 | $12,281.00 | |
Christus
| Facility | $80.00 | $228.61 | $241.54 | |
Cigna
| Facility | $294.79 | $294.79 | $294.79 | |
Lucent Health
| Facility | $55.00 | $4,123.70 | $5,000.00 | |
Moda Health
| Facility | $244.39 | $335.41 | $574.21 | |
Providence
| Facility | $245.38 | $336.81 | $588.87 | |
United
| Facility | $432.00 | $2,064.00 | $8,759.00 |