| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.60 | $164.60 | $192.04 | |
Aetna
| Professional | $164.59 | $164.60 | $216.94 | |
BCBS
| Facility | $177.69 | $177.69 | $266.52 | |
BCBS
| Professional | $177.69 | $177.69 | $181.24 | |
Christus
| Facility | $90.00 | $90.00 | $90.00 | |
Cigna
| Facility | $175.41 | $175.41 | $175.41 | |
Cigna
| Professional | $175.41 | $175.41 | $175.41 | |
United
| Professional | $146.59 | $177.07 | $188.04 |