| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $302.00 | $309.03 | $602.56 | |
Christus
| Facility | $12.02 | $16.98 | $32.36 | |
Cigna
| Facility | $199.53 | $199.53 | $199.53 | |
Moda Health
| Facility | $213.80 | $407.38 | $549.54 | |
Providence
| Facility | $199.53 | $199.53 | $199.53 |