| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $805.60 | $1,096.68 | $3,997.45 | |
Aetna
| Professional | $456.00 | $904.40 | $988.00 | |
Christus
| Facility | $760.00 | $760.00 | $760.00 | |
Cigna
| Facility | $494.00 | $5,368.32 | $5,770.82 | |
United
| Professional | $319.20 | $380.00 | $988.00 |