| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $477.65 | $477.65 | $559.29 | |
Aetna
| Professional | $477.65 | $534.75 | $693.28 | |
Christus
| Facility | $1,823.04 | $1,823.04 | $1,823.04 | |
Cigna
| Professional | $818.96 | $818.96 | $818.96 | |
United
| Professional | $655.39 | $786.51 | $1,300.90 |