| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.19 | $139.35 | $495.72 | |
Aetna
| Professional | $60.67 | $127.41 | $158.90 | |
BCBS
| Facility | $109.49 | $197.48 | $316.27 | |
BCBS
| Professional | $91.01 | $111.23 | $111.23 | |
Christus
| Facility | $101.12 | $101.12 | $101.12 | |
Cigna
| Facility | $105.74 | $251.86 | $477.43 | |
Cigna
| Professional | $44.06 | $104.66 | $208.18 | |
United
| Professional | $42.47 | $54.45 | $131.46 |