| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.97 | $64.97 | $64.97 | |
Aetna
| Professional | $31.62 | $58.52 | $72.98 | |
Christus
| Facility | $33.82 | $33.82 | $33.82 | |
Cigna
| Facility | $50.11 | $50.11 | $50.11 | |
Cigna
| Professional | $50.89 | $50.89 | $50.89 | |
United
| Professional | $53.91 | $69.79 | $120.53 |