| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $165.96 | $223.87 | $794.33 | |
Aetna
| Professional | $93.33 | $134.90 | $199.53 | |
BCBS
| Facility | $169.82 | $309.03 | $489.78 | |
Christus
| Facility | $158.49 | $158.49 | $158.49 | |
Cigna
| Facility | $102.33 | $123.03 | $1,202.26 | |
United
| Facility | $66.07 | $158.49 | $158.49 | |
United
| Professional | $66.07 | $77.62 | $218.78 |