| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.40 | $112.54 | $123.60 | |
Aetna
| Professional | $87.47 | $114.59 | $165.54 | |
BCBS
| Facility | $0.03 | $256.02 | $336.90 | |
BCBS
| Professional | $71.98 | $117.64 | $204.90 | |
Christus
| Facility | $112.00 | $112.00 | $112.00 | |
Cigna
| Facility | $113.69 | $113.69 | $113.69 | |
Cigna
| Professional | $83.95 | $116.60 | $213.01 | |
United
| Professional | $93.82 | $124.67 | $185.04 |