| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.70 | $19.70 | $343.00 | |
Aetna
| Professional | $17.97 | $19.69 | $42.65 | |
Christus
| Facility | $30.00 | $30.00 | $30.00 | |
Cigna
| Professional | $21.00 | $35.09 | $63.15 | |
United
| Professional | $40.61 | $50.34 | $93.64 |