| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $866.81 | $2,758.00 | $5,432.00 | |
BCBS
| Facility | $4,681.72 | $8,437.98 | $11,892.73 | |
Christus
| Facility | $40.00 | $40.00 | $40.00 | |
United
| Facility | $1,141.00 | $4,717.00 | $10,810.00 |