| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $2,041.74 | $4,570.88 | |
BCBS
| Facility | $1,698.24 | $3,388.44 | $5,011.87 | |
Christus
| Facility | $39.81 | $39.81 | $39.81 | |
United
| Facility | $831.76 | $2,398.83 | $5,888.44 |