| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $762.00 | $1,850.00 | $3,945.00 | |
BCBS
| Facility | $4,204.52 | $6,822.50 | $12,905.62 | |
Christus
| Facility | $40.00 | $40.00 | $40.00 | |
United
| Facility | $882.00 | $3,238.00 | $8,257.00 |