| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.73 | $133.47 | $260.26 | |
Aetna
| Professional | $133.46 | $133.47 | $173.51 | |
BCBS
| Facility | $146.82 | $146.82 | $220.23 | |
BCBS
| Professional | $146.82 | $146.82 | $149.76 | |
Christus
| Facility | $40.00 | $59.77 | $59.77 | |
Cigna
| Facility | $131.13 | $131.13 | $131.13 | |
Cigna
| Professional | $131.13 | $131.13 | $131.13 | |
United
| Professional | $112.40 | $132.30 | $140.50 |