| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $194.22 | $194.22 | $194.22 | |
BCBS
| Facility | $111.63 | $130.97 | $222.30 | |
BCBS
| Professional | $222.30 | $222.30 | $226.75 | |
Christus
| Facility | $40.00 | $40.00 | $40.00 | |
Cigna
| Facility | $206.70 | $206.70 | $206.70 | |
Cigna
| Professional | $206.70 | $206.70 | $206.70 | |
United
| Professional | $234.00 | $234.00 | $257.99 |