| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.26 | $24.26 | $33.96 | |
Aetna
| Professional | $24.26 | $24.26 | $24.26 | |
BCBS
| Facility | $19.73 | $24.23 | $31.46 | |
BCBS
| Professional | $23.05 | $23.05 | $23.51 | |
Christus
| Facility | $349.80 | $349.80 | $349.80 | |
United
| Professional | $19.26 | $19.64 | $24.56 |