| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.78 | $72.78 | $72.78 | |
Aetna
| Professional | $72.78 | $86.45 | $117.49 | |
BCBS
| Facility | $0.02 | $0.02 | $0.02 | |
BCBS
| Professional | $94.06 | $97.57 | $111.64 | |
Christus
| Facility | $106.31 | $106.31 | $106.31 | |
Cigna
| Facility | $118.31 | $118.31 | $118.31 | |
Cigna
| Professional | $92.85 | $92.85 | $92.85 | |
United
| Professional | $86.36 | $109.01 | $185.32 |