| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.06 | $67.81 | $71.98 | |
Aetna
| Professional | $55.06 | $67.81 | $83.87 | |
Christus
| Facility | $121.37 | $121.37 | $121.37 | |
Cigna
| Facility | $93.13 | $93.13 | $93.13 | |
Cigna
| Professional | $93.13 | $93.13 | $93.13 | |
United
| Professional | $86.75 | $91.30 | $106.39 |