| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $432.85 | $571.12 | $686.10 | |
Christus
| Facility | $566.28 | $616.83 | $640.71 | |
Cigna
| Facility | $691.08 | $691.08 | $691.08 | |
Lucent Health
| Facility | $1,398.76 | $2,726.38 | $2,962.01 | |
Moda Health
| Facility | $535.19 | $641.42 | $1,122.45 | |
Providence
| Facility | $541.66 | $642.69 | $1,176.64 |