| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $882.00 | $2,636.00 | $5,687.00 | |
BCBS
| Facility | $5,006.68 | $9,312.45 | $13,317.57 | |
Christus
| Facility | $40.00 | $40.00 | $40.00 | |
United
| Facility | $1,200.00 | $5,780.00 | $12,353.00 |