| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.72 | $68.72 | $68.72 | |
Aetna
| Professional | $68.72 | $77.65 | $162.72 | |
BCBS
| Facility | $0.02 | $0.02 | $0.02 | |
BCBS
| Professional | $47.12 | $50.21 | $204.57 | |
Christus
| Facility | $83.27 | $104.66 | $104.66 | |
Cigna
| Professional | $81.84 | $81.84 | $81.84 | |
United
| Professional | $77.68 | $99.60 | $177.67 |