| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.00 | $177.56 | $312.54 | |
Aetna
| Professional | $177.56 | $177.56 | $214.85 | |
BCBS
| Facility | $195.32 | $195.32 | $292.98 | |
BCBS
| Professional | $195.32 | $195.32 | $199.23 | |
Christus
| Facility | $25.68 | $25.68 | $25.68 | |
Cigna
| Facility | $174.44 | $174.44 | $174.44 | |
Cigna
| Professional | $174.44 | $174.44 | $174.44 | |
United
| Professional | $149.52 | $176.00 | $186.90 |