| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $135.99 | $176.79 | $628.91 | |
Aetna
| Professional | $76.97 | $155.22 | $199.56 | |
BCBS
| Facility | $157.86 | $253.01 | $420.21 | |
BCBS
| Professional | $92.30 | $202.79 | $253.41 | |
Christus
| Facility | $40.00 | $40.00 | $128.29 | |
Cigna
| Facility | $134.35 | $355.30 | $791.74 | |
Cigna
| Professional | $60.03 | $109.82 | $276.58 | |
United
| Professional | $53.88 | $76.97 | $226.95 |