| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,413.10 | $8,128.31 | $8,128.31 | |
Christus
| Facility | $1,621.81 | $2,187.76 | $5,011.87 | |
Lucent Health
| Facility | $1,548.82 | $3,715.35 | $3,715.35 | |
Moda Health
| Facility | $7,413.10 | $8,128.31 | $8,128.31 |