| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.82 | $128.82 | $323.59 | |
Aetna
| Professional | $128.82 | $128.82 | $194.98 | |
BCBS
| Facility | $218.78 | $389.05 | $630.96 | |
Christus
| Facility | $199.53 | $199.53 | $199.53 | |
Cigna
| Facility | $128.82 | $223.87 | $1,513.56 | |
United
| Facility | $83.18 | $199.53 | $199.53 | |
United
| Professional | $83.18 | $100.00 | $281.84 |