| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $360.00 | $497.00 | $747.00 | |
Christus
| Facility | $12.00 | $19.00 | $400.00 | |
Cigna
| Facility | $385.00 | $450.00 | $562.38 | |
Lucent Health
| Facility | $750.00 | $750.00 | $750.00 | |
Providence
| Facility | $400.00 | $450.00 | $525.00 |