| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $489.78 | $1,513.56 | $4,168.69 | |
BCBS
| Facility | $1,737.80 | $3,548.13 | $5,370.32 | |
Christus
| Facility | $39.81 | $39.81 | $39.81 | |
United
| Facility | $831.76 | $2,454.71 | $5,888.44 |