| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.00 | $63.23 | $66.50 | |
Aetna
| Professional | $49.74 | $62.84 | $68.43 | |
Christus
| Facility | $50.32 | $50.32 | $50.32 | |
Cigna
| Facility | $78.31 | $78.31 | $78.31 | |
Cigna
| Professional | $55.95 | $55.95 | $55.95 | |
United
| Professional | $50.20 | $64.56 | $103.37 |