| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $524.81 | $2,691.53 | $4,365.16 | |
Christus
| Facility | $39.81 | $39.81 | $295.12 | |
Cigna
| Facility | $1,819.70 | $1,819.70 | $1,819.70 | |
United
| Facility | $389.05 | $1,230.27 | $6,165.95 |