| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $462.31 | $1,850.00 | $4,050.00 | |
BCBS
| Facility | $9,123.60 | $17,027.57 | $31,286.25 | |
Christus
| Facility | $10,489.19 | $10,489.19 | $10,489.19 | |
United
| Facility | $1,215.00 | $8,932.00 | $22,109.00 |