| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $580.00 | $1,520.00 | $3,728.00 | |
BCBS
| Facility | $7,309.27 | $12,573.06 | $19,194.99 | |
Christus
| Facility | $40.00 | $40.00 | $40.00 | |
United
| Facility | $1,421.00 | $9,610.00 | $24,051.00 |