| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.91 | $158.49 | $416.87 | |
Aetna
| Facility | 25 | $398.11 | $398.11 | $512.86 |
BCBS
| Facility | $213.80 | $295.12 | $371.54 | |
Christus
| Facility | $10.96 | $30.20 | $30.20 | |
Cigna
| Facility | $302.00 | $323.59 | $416.87 |