| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $756.00 | $2,418.00 | $4,392.00 | |
BCBS
| Facility | $5,423.49 | $10,412.62 | $16,397.20 | |
Christus
| Facility | $40.00 | $40.00 | $40.00 | |
United
| Facility | $1,141.00 | $4,717.00 | $10,810.00 |