| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.20 | $154.88 | $549.54 | |
Aetna
| Professional | $64.57 | $93.33 | $134.90 | |
BCBS
| Facility | $112.20 | $190.55 | $269.15 | |
BCBS
| Professional | $102.33 | $117.49 | $131.83 | |
Christus
| Facility | $107.15 | $107.15 | $107.15 | |
Cigna
| Facility | $69.18 | $69.18 | $812.83 | |
United
| Facility | $44.67 | $107.15 | $107.15 | |
United
| Professional | $44.67 | $53.70 | $151.36 |