| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $741.31 | $741.31 | $741.31 | |
Christus
| Facility | $12.02 | $16.98 | $32.36 | |
Cigna
| Facility | $537.03 | $537.03 | $537.03 | |
Moda Health
| Facility | $741.31 | $741.31 | $741.31 | |
Providence
| Facility | $537.03 | $537.03 | $537.03 |