| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.80 | $84.15 | $180.56 | |
Aetna
| Professional | $78.80 | $81.16 | $98.86 | |
BCBS
| Facility | $18.86 | $22.12 | $89.11 | |
BCBS
| Professional | $89.11 | $89.11 | $90.89 | |
Christus
| Facility | $40.00 | $40.00 | $40.00 | |
Cigna
| Facility | $74.33 | $74.33 | $78.79 | |
Cigna
| Professional | $78.79 | $78.79 | $78.79 | |
United
| Professional | $78.80 | $78.80 | $106.05 |