| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.38 | $72.44 | $912.01 | |
BCBS
| Facility | $32.36 | $74.13 | $117.49 | |
Baylor Scott & White
| Facility | $812.83 | $812.83 | $812.83 | |
Christus
| Facility | $20.42 | $25.70 | $25.70 | |
Lucent Health
| Facility | $169.82 | $169.82 | $169.82 | |
Moda Health
| Facility | $21.38 | $51.29 | $891.25 | |
Providence
| Facility | $21.38 | $48.98 | $89.13 |