| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Christus
| Facility | $11.05 | $11.05 | $11.05 | |
Cigna
| Professional | $11.15 | $11.15 | $13.94 | |
Lucent Health
| Facility | $90.00 | $90.00 | $90.00 | |
Moda Health
| Professional | $11.87 | $12.50 | $59,999.40 |