| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.32 | $112.32 | $112.32 | |
Aetna
| Professional | $78.12 | $112.32 | $112.32 | |
BCBS
| Professional | $54.98 | $68.01 | $68.70 | |
Christus
| Facility | $229.71 | $229.71 | $229.71 | |
Cigna
| Professional | $2.00 | $2.00 | $2.00 |