| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $443.86 | $1,520.00 | $3,779.00 | |
Aetna
| Facility | 52 | $144.85 | $221.93 | $934.63 |
BCBS
| Facility | $3,175.23 | $5,885.27 | $9,412.20 | |
Christus
| Facility | $3,970.57 | $3,970.57 | $3,970.57 | |
United
| Facility | $746.00 | $2,415.00 | $6,585.00 |