| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $666.00 | $1,527.00 | $4,050.00 | |
BCBS
| Facility | $29,645.60 | $51,480.70 | $74,488.28 | |
Christus
| Facility | $28,201.73 | $28,201.73 | $28,201.73 | |
United
| Facility | $1,638.00 | $13,779.00 | $29,176.00 |