| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.59 | $83.27 | $88.49 | |
Aetna
| Professional | $67.59 | $84.08 | $103.66 | |
Christus
| Facility | $121.37 | $121.37 | $121.37 | |
Cigna
| Professional | $785.24 | $785.24 | $785.24 | |
United
| Professional | $1,366.96 | $1,438.66 | $1,586.12 |