| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.11 | $67.79 | $76.26 | |
Christus
| Facility | $87.82 | $87.82 | $87.82 | |
Lucent Health
| Facility | $161.21 | $173.91 | $466.08 | |
Moda Health
| Facility | $69.70 | $98.16 | $181.76 | |
Providence
| Facility | $69.70 | $97.87 | $203.76 |