| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.48 | $48.98 | $173.78 | |
Aetna
| Professional | $19.95 | $28.84 | $41.69 | |
BCBS
| Facility | $35.48 | $60.26 | $85.11 | |
BCBS
| Professional | $32.36 | $37.15 | $41.69 | |
Christus
| Facility | $33.88 | $33.88 | $33.88 | |
Cigna
| Facility | $21.88 | $21.88 | $257.04 | |
United
| Facility | $14.13 | $33.88 | $33.88 | |
United
| Professional | $14.13 | $16.98 | $47.86 |