| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $860.00 | $2,447.00 | $5,150.00 | |
BCBS
| Facility | $4,954.10 | $9,110.87 | $16,046.16 | |
Christus
| Facility | $40.00 | $40.00 | $40.00 | |
United
| Facility | $882.00 | $3,238.00 | $8,257.00 |