| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.19 | $93.19 | $93.19 | |
Aetna
| Professional | $93.19 | $107.92 | $200.72 | |
BCBS
| Facility | $0.02 | $0.02 | $0.02 | |
BCBS
| Professional | $74.84 | $79.84 | $277.68 | |
Christus
| Facility | $115.93 | $139.37 | $139.37 | |
Cigna
| Professional | $115.76 | $115.76 | $115.76 | |
United
| Professional | $109.46 | $135.56 | $241.44 |