| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $862.45 | $2,500.00 | $4,050.00 | |
Christus
| Facility | $40.00 | $40.00 | $613.51 | |
Cigna
| Facility | $400.00 | $400.00 | $400.00 | |
United
| Facility | $1,215.00 | $9,403.00 | $22,109.00 |