| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $388.88 | $1,300.00 | $3,500.00 | |
BCBS
| Facility | $611.80 | $1,048.23 | $1,472.39 | |
Christus
| Facility | $237.86 | $237.86 | $237.86 | |
United
| Facility | $194.00 | $513.00 | $1,226.00 |