| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $121.30 | $165.13 | $601.87 | |
Aetna
| Professional | $68.66 | $136.16 | $148.76 | |
BCBS
| Facility | $119.79 | $210.97 | $308.89 | |
BCBS
| Professional | $108.71 | $125.87 | $164.78 | |
Christus
| Facility | $114.43 | $114.43 | $114.43 | |
Cigna
| Facility | $119.86 | $219.56 | $808.96 | |
United
| Professional | $48.06 | $59.98 | $143.04 |