| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $569.99 | $1,850.00 | $3,945.00 | |
BCBS
| Facility | $4,789.72 | $9,001.82 | $12,822.87 | |
Christus
| Facility | $40.00 | $40.00 | $40.00 | |
United
| Facility | $1,141.00 | $4,717.00 | $10,810.00 |