| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.75 | $1,273.00 | $3,500.00 | |
BCBS
| Facility | $1,414.59 | $2,244.48 | $3,586.20 | |
Christus
| Facility | $888.89 | $888.89 | $888.89 | |
United
| Facility | $341.00 | $1,049.00 | $2,271.00 |