| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $133.08 | $133.08 | $160.38 | |
Aetna
| Professional | $82.75 | $133.08 | $178.71 | |
BCBS
| Facility | $0.02 | $0.03 | $0.03 | |
BCBS
| Professional | $113.34 | $128.21 | $203.80 | |
Christus
| Facility | $40.00 | $104.66 | $104.66 | |
Cigna
| Professional | $101.52 | $127.87 | $201.73 | |
United
| Professional | $95.22 | $122.01 | $210.70 |