| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.95 | $57.54 | $138.04 | |
Aetna
| Professional | $54.95 | $54.95 | $60.26 | |
BCBS
| Facility | $52.48 | $52.48 | $52.48 | |
BCBS
| Professional | $52.48 | $52.48 | $52.48 | |
Christus
| Facility | $39.81 | $39.81 | $39.81 | |
Cigna
| Facility | $52.48 | $52.48 | $54.95 | |
Cigna
| Professional | $54.95 | $54.95 | $56.23 | |
United
| Facility | $0.05 | $21.38 | $66.07 | |
United
| Professional | $21.88 | $54.95 | $58.88 |