| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.81 | $39.81 | $39.81 | |
Aetna
| Professional | $39.81 | $39.81 | $39.81 | |
BCBS
| Facility | $0.02 | $0.02 | $0.03 | |
Christus
| Facility | $39.81 | $39.81 | $39.81 | |
Cigna
| Facility | $190.55 | $190.55 | $190.55 | |
Cigna
| Professional | $141.25 | $141.25 | $141.25 |