| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $891.25 | $2,630.27 | $6,606.93 | |
BCBS
| Facility | $2,454.71 | $4,570.88 | $6,606.93 | |
Christus
| Facility | $39.81 | $39.81 | $39.81 | |
United
| Facility | $831.76 | $2,630.27 | $6,606.93 |