| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $933.25 | $3,235.94 | $5,754.40 | |
Christus
| Facility | $39.81 | $1,584.89 | $1,584.89 | |
Cigna
| Facility | $489.78 | $812.83 | $3,019.95 | |
Cigna
| Facility | AS | $302.00 | $302.00 | $302.00 |
United
| Facility | $371.54 | $1,174.90 | $5,754.40 |