| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.13 | $173.29 | $179.34 | |
Aetna
| Professional | $126.41 | $151.13 | $182.63 | |
BCBS
| Facility | $0.02 | $0.03 | $0.03 | |
BCBS
| Professional | $18.84 | $20.48 | $20.48 | |
Christus
| Facility | $42.07 | $42.07 | $42.07 | |
Cigna
| Facility | $147.10 | $147.10 | $147.10 | |
Cigna
| Professional | $107.38 | $125.04 | $147.10 | |
United
| Professional | $7.86 | $12.98 | $31.79 |