| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $400.00 | $2,082.00 | $8,200.00 | |
BCBS
| Facility | $4,520.62 | $10,221.28 | $14,357.31 | |
Christus
| Facility | $40.00 | $40.00 | $40.00 | |
United
| Facility | $194.00 | $513.00 | $1,226.00 |