| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.57 | $71.64 | $109.09 | |
Aetna
| Professional | $30.57 | $30.57 | $34.17 | |
BCBS
| Facility | $16.39 | $22.71 | $34.17 | |
BCBS
| Professional | $34.17 | $34.17 | $34.85 | |
Christus
| Facility | $30.69 | $30.69 | $30.69 | |
Cigna
| Facility | $33.71 | $33.71 | $33.71 | |
Cigna
| Professional | $33.71 | $33.71 | $33.71 | |
United
| Professional | $30.75 | $35.97 | $41.00 |