| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.25 | $141.25 | $199.53 | |
Aetna
| Professional | $100.00 | $141.25 | $144.54 | |
BCBS
| Facility | $162.18 | $162.18 | $162.18 | |
BCBS
| Professional | $162.18 | $162.18 | $165.96 | |
Christus
| Facility | $1,905.46 | $1,905.46 | $1,905.46 | |
Cigna
| Facility | $120.23 | $120.23 | $120.23 | |
Cigna
| Professional | $120.23 | $120.23 | $120.23 | |
United
| Facility | $91.20 | $91.20 | $91.20 |