| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $115.88 | $250.00 | $250.00 |
Aetna
| Professional | 26 | $90.00 | $250.00 | $265.00 |
BCBS
| Professional | 26 | $130.37 | $151.88 | $204.04 |
Christus
| Professional | 26 | $40.00 | $92.15 | $92.15 |
Cigna
| Professional | 26 | $66.20 | $102.17 | $220.61 |
United
| Professional | 26 | $91.29 | $118.41 | $183.35 |