| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $921.06 | $3,245.00 | $9,940.00 | |
Aetna
| Facility | 52 | $460.53 | $460.53 | $547.88 |
Aetna
| Facility | 53 | $184.21 | $184.21 | $219.15 |
BCBS
| Facility | $4,120.74 | $9,256.86 | $22,392.17 | |
Christus
| Facility | $789.78 | $789.78 | $789.78 | |
United
| Facility | $1,141.00 | $4,717.00 | $10,810.00 |