| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.44 | $72.44 | $72.44 | |
Aetna
| Professional | $72.44 | $97.72 | $120.23 | |
BCBS
| Facility | $0.02 | $0.02 | $0.02 | |
BCBS
| Professional | $93.33 | $93.33 | $97.72 | |
Christus
| Facility | $107.15 | $107.15 | $109.65 | |
Cigna
| Facility | $162.18 | $162.18 | $162.18 | |
Cigna
| Professional | $93.33 | $93.33 | $117.49 | |
United
| Professional | $85.11 | $109.65 | $173.78 |