| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $762.00 | $1,869.00 | $4,776.60 | |
BCBS
| Facility | $2,949.49 | $5,867.65 | $9,050.48 | |
Christus
| Facility | $4,127.28 | $4,127.28 | $4,127.28 | |
United
| Facility | $1,141.00 | $4,717.00 | $10,810.00 |