| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.00 | $7.50 | $17.50 | |
Christus
| Facility | $16.00 | $16.00 | $16.00 | |
Cigna
| Professional | $99.16 | $201.47 | $255.12 | |
Lucent Health
| Professional | $6.57 | $6.57 | $6.57 | |
Moda Health
| Facility | $6.57 | $7.26 | $11.62 | |
Moda Health
| Professional | $5.50 | $18.00 | $49.50 | |
Oscar Health
| Professional | $28.00 | $28.00 | $28.00 | |
Providence
| Facility | $6.17 | $7.26 | $11.62 | |
Providence
| Professional | $5.00 | $5.00 | $6.57 |