| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $159.00 | $216.45 | $788.97 | |
Aetna
| Professional | $90.00 | $178.50 | $195.00 | |
BCBS
| Facility | $157.02 | $268.25 | $377.06 | |
BCBS
| Professional | $142.50 | $165.00 | $216.00 | |
Christus
| Facility | $150.00 | $150.00 | $150.00 | |
Cigna
| Facility | $156.79 | $287.83 | $1,060.26 | |
United
| Professional | $63.00 | $75.00 | $195.00 |