| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.51 | $37.79 | $38.33 | |
Aetna
| Professional | $33.94 | $37.88 | $46.76 | |
Christus
| Facility | $49.00 | $49.00 | $49.00 | |
Cigna
| Professional | $42.56 | $42.56 | $42.56 | |
Lucent Health
| Facility | $87.86 | $252.67 | $255.79 | |
Lucent Health
| Professional | $290.08 | $290.08 | $403.65 | |
Moda Health
| Facility | $35.51 | $41.83 | $55.93 | |
Moda Health
| Professional | $50.89 | $60.14 | $83.27 | |
Providence
| Facility | $35.51 | $41.73 | $55.93 | |
Providence
| Professional | $42.56 | $42.56 | $42.56 | |
United
| Professional | $34.29 | $46.83 | $68.58 | |
Wellpoint
| Professional | $39.47 | $44.02 | $62.75 |