| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,210.58 | $1,648.00 | $6,007.00 | |
Aetna
| Professional | $685.24 | $1,359.05 | $1,484.68 | |
Christus
| Facility | $1,142.06 | $1,142.06 | $1,142.06 | |
Cigna
| Facility | $742.34 | $742.34 | $742.34 | |
United
| Professional | $479.67 | $614.91 | $1,598.88 |