| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.82 | $134.90 | $169.82 | |
BCBS
| Facility | $208.93 | $467.74 | $851.14 | |
Christus
| Facility | $141.25 | $165.96 | $165.96 | |
Cigna
| Facility | $169.82 | $169.82 | $169.82 | |
Lucent Health
| Facility | $1,023.29 | $1,023.29 | $1,023.29 | |
Moda Health
| Facility | $134.90 | $204.17 | $323.59 | |
Providence
| Facility | $147.91 | $208.93 | $346.74 |