| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.98 | $49.50 | $91.75 | |
Aetna
| Professional | $49.50 | $49.50 | $59.90 | |
BCBS
| Facility | $49.50 | $49.50 | $74.25 | |
BCBS
| Professional | $49.50 | $49.50 | $50.49 | |
Christus
| Facility | $40.00 | $40.00 | $40.00 | |
Cigna
| Facility | $48.76 | $48.76 | $48.76 | |
Cigna
| Professional | $48.76 | $48.76 | $48.76 | |
United
| Professional | $41.68 | $49.20 | $58.60 |