| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $519.00 | $1,850.00 | $3,945.00 | |
BCBS
| Facility | $1,767.04 | $3,766.39 | $6,792.29 | |
Christus
| Facility | $40.00 | $40.00 | $40.00 | |
United
| Facility | $826.00 | $2,653.00 | $6,897.94 |