| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $756.00 | $2,574.00 | $4,991.00 | |
Aetna
| Professional | $665.00 | $3,685.00 | $9,804.54 | |
BCBS
| Facility | $4,172.80 | $7,454.00 | $10,637.02 | |
Christus
| Facility | $12,314.50 | $12,314.50 | $12,314.50 | |
United
| Facility | $826.00 | $2,653.00 | $6,661.00 |