| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $580.00 | $1,520.00 | $3,728.00 | |
BCBS
| Facility | $4,766.52 | $8,778.14 | $12,493.21 | |
Christus
| Facility | $40.00 | $40.00 | $40.00 | |
United
| Facility | $1,200.00 | $5,780.00 | $12,353.00 |