| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $372.58 | $491.60 | $593.26 | |
Christus
| Facility | $489.70 | $529.87 | $550.41 | |
Cigna
| Facility | $594.32 | $594.32 | $594.32 | |
Lucent Health
| Facility | $1,207.68 | $2,358.53 | $2,568.42 | |
Moda Health
| Facility | $448.61 | $546.96 | $935.99 | |
Providence
| Facility | $458.08 | $547.54 | $986.02 |