| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.00 | $204.00 | $316.00 | |
Christus
| Facility | $12.00 | $19.00 | $45.00 | |
Cigna
| Facility | $75.00 | $110.00 | $259.00 | |
Lucent Health
| Facility | $100.00 | $100.00 | $117.00 | |
Providence
| Facility | $75.00 | $95.00 | $218.00 |