| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.30 | $37.00 | $369.94 | |
BCBS
| Facility | $32.89 | $81.53 | $543.90 | |
Christus
| Facility | $21.35 | $22.90 | $368.01 | |
Lucent Health
| Facility | $110.49 | $116.99 | $116.99 | |
Moda Health
| Facility | $23.46 | $51.94 | $452.60 | |
Providence
| Facility | $23.46 | $54.61 | $452.51 | |
United
| Facility | $361.45 | $619.27 | $619.27 |