| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $432.93 | $451.75 | $489.40 | |
Christus
| Facility | $348.22 | $348.22 | $372.84 | |
Cigna
| Facility | $451.80 | $451.80 | $451.80 | |
Lucent Health
| Facility | $862.47 | $1,795.39 | $1,927.22 | |
Moda Health
| Facility | $317.80 | $432.93 | $756.45 | |
Providence
| Facility | $317.80 | $434.81 | $861.25 | |
United
| Facility | $448.12 | $857.82 | $857.82 |