| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $678.00 | $2,397.00 | $4,392.00 | |
BCBS
| Facility | $1,325.76 | $2,180.42 | $4,257.39 | |
Christus
| Facility | $40.00 | $40.00 | $40.00 | |
United
| Facility | $341.00 | $1,049.00 | $2,271.00 |