| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $900.00 | $3,212.00 | $4,830.08 | |
Christus
| Facility | $40.00 | $2,962.19 | $2,962.19 | |
Cigna
| Facility | $488.00 | $675.00 | $3,677.58 | |
Cigna
| Facility | 62 | $2,244.61 | $2,244.61 | $2,244.61 |
United
| Facility | $385.00 | $1,261.00 | $7,168.00 |