| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.00 | $132.44 | $480.97 | |
Aetna
| Professional | $67.98 | $108.90 | $127.54 | |
BCBS
| Facility | $102.70 | $167.49 | $245.23 | |
BCBS
| Professional | $67.98 | $107.92 | $111.08 | |
Christus
| Facility | $98.11 | $137.35 | $137.35 | |
Cigna
| Facility | $63.77 | $213.75 | $456.69 | |
Cigna
| Professional | $43.01 | $46.69 | $140.94 | |
United
| Facility | $54.38 | $54.38 | $54.38 | |
United
| Professional | $36.90 | $49.06 | $175.52 |