| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Christus
| Facility | $19.48 | $19.48 | $19.48 | |
Lucent Health
| Facility | $100.00 | $510.00 | $510.00 | |
Moda Health
| Facility | $32.14 | $86.31 | $216.39 | |
Moda Health
| Professional | $11.04 | $11.04 | $17.60 |