| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $841.00 | $2,562.00 | $5,260.00 | |
Aetna
| Professional | $16,536.72 | $16,536.72 | $16,536.72 | |
BCBS
| Facility | $11,735.29 | $20,378.78 | $29,486.39 | |
Christus
| Facility | $11,736.78 | $11,736.78 | $11,736.78 | |
Cigna
| Facility | $400.00 | $400.00 | $400.00 | |
United
| Facility | $1,200.00 | $6,034.00 | $13,506.00 |