| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $127.55 | $127.55 | $127.87 | |
Aetna
| Professional | $127.54 | $127.55 | $423.57 | |
BCBS
| Facility | $136.15 | $136.15 | $204.23 | |
BCBS
| Professional | $136.15 | $136.15 | $138.87 | |
Christus
| Facility | $84.53 | $84.53 | $84.53 | |
Cigna
| Facility | $134.47 | $134.47 | $134.47 | |
Cigna
| Professional | $134.47 | $134.47 | $134.47 | |
United
| Professional | $111.30 | $134.99 | $144.07 |