| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $753.00 | $2,694.00 | $5,432.00 | |
Christus
| Facility | $40.00 | $40.00 | $900.89 | |
Cigna
| Facility | $400.00 | $400.00 | $400.00 | |
United
| Facility | $1,200.00 | $6,034.00 | $13,506.00 |