| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,202.26 | $1,513.56 | $1,513.56 | |
Christus
| Facility | $39.81 | $10,232.93 | $10,232.93 | |
Cigna
| Facility | $95,499.26 | $95,499.26 | $95,499.26 | |
United
| Facility | $724.44 | $724.44 | $724.44 |