| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $891.25 | $2,041.74 | $4,570.88 | |
BCBS
| Facility | $3,162.28 | $9,549.93 | $13,182.57 | |
Christus
| Facility | $39.81 | $39.81 | $39.81 | |
United
| Facility | $389.05 | $1,230.27 | $6,165.95 |