| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $261.48 | $360.62 | $603.99 | |
Aetna
| Professional | $335.55 | $335.55 | $967.00 | |
BCBS
| Facility | $132.84 | $183.92 | $350.53 | |
BCBS
| Professional | $350.53 | $350.53 | $357.54 | |
Christus
| Facility | $198.15 | $198.15 | $198.15 | |
Cigna
| Facility | $368.58 | $368.58 | $368.58 | |
Cigna
| Professional | $368.58 | $368.58 | $368.58 | |
United
| Professional | $315.81 | $371.87 | $394.91 |