| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.22 | $1,100.00 | $3,500.00 | |
Aetna
| Facility | 52 | $39.64 | $60.85 | $103.84 |
BCBS
| Facility | $242.26 | $547.76 | $756.50 | |
Christus
| Facility | $40.00 | $40.00 | $40.00 | |
United
| Facility | $210.00 | $580.00 | $1,506.00 |