| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.23 | $52.07 | $173.23 | |
Aetna
| Professional | $45.22 | $45.23 | $45.23 | |
BCBS
| Facility | $45.23 | $45.23 | $67.84 | |
BCBS
| Professional | $45.23 | $45.28 | $45.28 | |
Christus
| Facility | $45.23 | $45.23 | $45.23 | |
Cigna
| Facility | $29.43 | $29.43 | $29.43 | |
Cigna
| Professional | $21.17 | $45.23 | $65.05 | |
United
| Professional | $22.64 | $31.66 | $67.84 |