| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $367.21 | $383.17 | $415.10 | |
Christus
| Facility | $302.50 | $302.50 | $316.25 | |
Cigna
| Facility | $382.54 | $382.54 | $382.54 | |
Lucent Health
| Facility | $733.58 | $1,522.92 | $1,642.98 | |
Moda Health
| Facility | $268.64 | $367.21 | $640.34 | |
Providence
| Facility | $268.64 | $367.21 | $718.45 | |
United
| Facility | $383.47 | $456.95 | $456.95 |