| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $150.91 | $1,319.00 | $3,685.00 | |
BCBS
| Facility | $829.71 | $1,183.39 | $1,662.27 | |
Christus
| Facility | $40.00 | $40.00 | $40.00 | |
United
| Facility | $194.00 | $513.00 | $1,226.00 |
Fth/Gft Fr W/Dir Clsr Trnk Ea Addl 20 Sq Cm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $150.91 | $1,319.00 | $3,685.00 | |
BCBS
| Facility | $829.71 | $1,183.39 | $1,662.27 | |
Christus
| Facility | $40.00 | $40.00 | $40.00 | |
United
| Facility | $194.00 | $513.00 | $1,226.00 |