| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.59 | $133.06 | $154.32 | |
Aetna
| Facility | 25 | $128.47 | $128.47 | $446.89 |
BCBS
| Facility | $0.02 | $0.03 | $0.03 | |
Christus
| Facility | $87.24 | $125.08 | $125.08 | |
Cigna
| Facility | $111.66 | $111.66 | $111.66 |