| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.00 | $20.00 | $20.00 | |
Aetna
| Professional | $20.00 | $20.00 | $20.00 | |
BCBS
| Facility | $0.02 | $0.03 | $0.03 | |
Christus
| Facility | $147.00 | $147.00 | $147.00 | |
Cigna
| Facility | $22.00 | $22.00 | $22.00 | |
Cigna
| Professional | $18.70 | $18.70 | $18.70 |