| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $646.00 | $1,520.00 | $3,728.00 | |
BCBS
| Facility | $5,164.49 | $8,769.32 | $12,717.47 | |
Christus
| Facility | $8,050.32 | $8,050.32 | $8,050.32 | |
United
| Facility | $826.00 | $2,889.00 | $10,677.84 |