| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.84 | $28.84 | $28.84 | |
Aetna
| Professional | $28.84 | $28.84 | $37.15 | |
BCBS
| Facility | $0.02 | $0.02 | $0.03 | |
Christus
| Facility | $39.81 | $39.81 | $39.81 | |
Cigna
| Facility | $1,202.26 | $1,202.26 | $1,202.26 | |
Cigna
| Professional | $870.96 | $870.96 | $870.96 |