| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $900.00 | $2,562.00 | $4,050.00 | |
Aetna
| Facility | 52 | $507.48 | $538.95 | $609.64 |
Christus
| Facility | $40.00 | $40.00 | $40.00 | |
United
| Facility | $385.00 | $1,309.00 | $7,168.00 |