| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.88 | $37.15 | $398.11 | |
BCBS
| Facility | $31.62 | $83.18 | $660.69 | |
Christus
| Facility | $21.38 | $22.91 | $380.19 | |
Lucent Health
| Facility | $1,071.52 | $1,071.52 | $1,071.52 | |
Moda Health
| Facility | $22.39 | $52.48 | $501.19 | |
Providence
| Facility | $22.39 | $52.48 | $501.19 | |
United
| Facility | $616.60 | $645.65 | $851.14 |