| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $457.09 | $457.09 | $691.83 | |
Christus
| Facility | $467.74 | $707.95 | $707.95 | |
Cigna
| Facility | $851.14 | $851.14 | $851.14 | |
Lucent Health
| Facility | $3,467.37 | $3,467.37 | $3,467.37 | |
Moda Health
| Facility | $446.68 | $616.60 | $1,202.26 | |
Providence
| Facility | $457.09 | $660.69 | $1,174.90 |