| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.95 | $54.95 | $62.14 | |
Aetna
| Professional | $49.16 | $61.87 | $82.71 | |
BCBS
| Facility | $0.02 | $0.03 | $0.03 | |
Christus
| Facility | $72.29 | $72.29 | $73.53 | |
Cigna
| Professional | $65.77 | $65.77 | $65.77 | |
United
| Professional | $68.27 | $92.65 | $137.58 |