| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $298.77 | $1,381.42 | $3,685.00 | |
Aetna
| Facility | 52 | $86.43 | $132.24 | $224.09 |
BCBS
| Facility | $1,373.42 | $2,329.03 | $3,407.15 | |
Christus
| Facility | $13.33 | $13.33 | $13.33 | |
United
| Facility | $470.00 | $1,429.00 | $4,010.00 |