| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.26 | $10.00 | $25.00 | |
Christus
| Facility | $16.00 | $16.00 | $16.00 | |
Cigna
| Professional | $150.37 | $211.89 | $255.12 |
Addl Supl Matrl&Staf Tm Drg Phe Res-Tr Nfct Ds
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.26 | $10.00 | $25.00 | |
Christus
| Facility | $16.00 | $16.00 | $16.00 | |
Cigna
| Professional | $150.37 | $211.89 | $255.12 |