| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $612.00 | $1,850.00 | $3,945.00 | |
Aetna
| Facility | 53 | $120.19 | $120.19 | $142.93 |
BCBS
| Facility | $10,295.00 | $20,126.61 | $29,987.95 | |
Christus
| Facility | $40.00 | $40.00 | $40.00 | |
United
| Facility | $1,200.00 | $11,159.00 | $26,848.00 |