| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.91 | $66.56 | $110.48 | |
Aetna
| Professional | $66.56 | $66.56 | $116.00 | |
BCBS
| Facility | $71.05 | $71.05 | $106.57 | |
BCBS
| Professional | $71.05 | $71.05 | $72.47 | |
Christus
| Facility | $45.00 | $45.00 | $45.00 | |
Cigna
| Facility | $70.36 | $70.36 | $70.36 | |
Cigna
| Professional | $70.36 | $70.36 | $70.36 | |
United
| Professional | $61.26 | $71.98 | $76.58 |