| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.22 | $42.22 | $42.22 | |
Aetna
| Professional | $25.33 | $46.86 | $271.48 | |
BCBS
| Professional | $17.22 | $28.03 | $52.78 | |
Christus
| Facility | $42.22 | $42.22 | $42.22 | |
Cigna
| Professional | $6.82 | $18.68 | $81.93 | |
United
| Professional | $8.86 | $25.33 | $79.00 |