| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $762.00 | $1,869.00 | $3,945.00 | |
BCBS
| Facility | $5,694.97 | $9,729.00 | $13,675.43 | |
Christus
| Facility | $40.00 | $40.00 | $40.00 | |
United
| Facility | $385.00 | $1,309.00 | $7,168.00 |