| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $762.00 | $2,009.92 | $4,050.00 | |
Christus
| Facility | $40.00 | $40.00 | $1,403.62 | |
Cigna
| Facility | $400.00 | $400.00 | $400.00 | |
United
| Facility | $746.00 | $2,420.00 | $7,085.00 |