| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $646.00 | $1,520.00 | $3,779.00 | |
BCBS
| Facility | $5,099.68 | $8,764.66 | $12,665.76 | |
Christus
| Facility | $307.32 | $307.32 | $307.32 | |
United
| Facility | $1,141.00 | $4,717.00 | $10,810.00 |