| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $592.05 | $1,520.00 | $3,779.00 | |
BCBS
| Facility | $6,101.13 | $10,346.64 | $14,978.42 | |
Christus
| Facility | $16,979.72 | $16,979.72 | $16,979.72 | |
United
| Facility | $882.00 | $3,238.00 | $8,257.00 |