| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $458.72 | $1,850.00 | $3,945.00 | |
BCBS
| Facility | $10,830.73 | $16,750.15 | $24,311.56 | |
Christus
| Facility | $40.00 | $40.00 | $40.00 | |
United
| Facility | $1,215.00 | $9,403.00 | $22,109.00 |