| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $900.00 | $2,694.00 | $5,604.00 | |
Christus
| Facility | $40.00 | $40.00 | $1,511.23 | |
Cigna
| Facility | $400.00 | $400.00 | $400.00 | |
United
| Facility | $1,215.00 | $9,403.00 | $24,051.00 |