| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.34 | $39.88 | $49.01 | |
Christus
| Facility | $40.47 | $41.43 | $42.78 | |
Lucent Health
| Facility | $99.29 | $195.30 | $215.65 | |
Moda Health
| Facility | $40.79 | $45.40 | $61.67 | |
Providence
| Facility | $40.79 | $45.27 | $61.67 |