| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $297.00 | $1,300.00 | $3,500.00 | |
BCBS
| Facility | $642.71 | $1,196.77 | $1,774.71 | |
Christus
| Facility | $33.31 | $33.31 | $33.31 | |
United
| Facility | $341.00 | $1,049.00 | $2,271.00 |