| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.74 | $89.13 | $281.84 | |
Aetna
| Professional | $38.02 | $50.12 | $67.61 | |
BCBS
| Facility | $67.61 | $158.49 | $323.59 | |
BCBS
| Professional | $5.01 | $33.88 | $35.48 | |
Christus
| Facility | $416.87 | $416.87 | $416.87 | |
Cigna
| Facility | $58.88 | $134.90 | $295.12 | |
Cigna
| Professional | $32.36 | $32.36 | $81.28 | |
Lucent Health
| Facility | $295.12 | $295.12 | $295.12 | |
Moda Health
| Facility | $41.69 | $61.66 | $120.23 | |
Moda Health
| Professional | $38.02 | $52.48 | $75.86 | |
Molina
| Professional | $46.77 | $52.48 | $52.48 | |
Providence
| Facility | $40.74 | $61.66 | $169.82 | |
Providence
| Professional | $33.11 | $33.11 | $61.66 | |
United
| Facility | $22.39 | $33.88 | $61.66 | |
United
| Professional | $26.30 | $33.88 | $47.86 | |
Wellpoint
| Professional | $23.99 | $23.99 | $61.66 |