| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $605.82 | $632.16 | $684.84 | |
Christus
| Facility | $470.24 | $470.24 | $521.71 | |
Cigna
| Facility | $635.70 | $635.70 | $635.70 | |
Lucent Health
| Facility | $1,213.71 | $2,511.42 | $2,710.30 | |
Moda Health
| Facility | $447.61 | $605.82 | $1,059.57 | |
Providence
| Facility | $447.78 | $605.82 | $1,206.11 |