| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $756.00 | $2,413.00 | $4,392.00 | |
BCBS
| Facility | $3,260.31 | $5,717.56 | $11,511.68 | |
Christus
| Facility | $4,914.88 | $4,914.88 | $4,914.88 | |
United
| Facility | $1,149.00 | $5,348.00 | $11,696.00 |