| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $338.00 | $1,300.00 | $4,050.00 | |
Aetna
| Facility | 52 | $57.00 | $87.43 | $1,023.46 |
BCBS
| Facility | $0.02 | $0.03 | $0.03 | |
Christus
| Facility | $93.08 | $93.08 | $93.08 | |
United
| Facility | $194.00 | $513.00 | $1,226.00 |