| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.20 | $112.20 | $151.36 | |
Aetna
| Professional | $70.79 | $97.72 | $151.36 | |
BCBS
| Facility | $169.82 | $288.40 | $407.38 | |
BCBS
| Professional | $134.90 | $134.90 | $134.90 | |
Christus
| Facility | $39.81 | $39.81 | $39.81 | |
Cigna
| Facility | $134.90 | $134.90 | $134.90 | |
Cigna
| Professional | $97.72 | $97.72 | $162.18 | |
United
| Facility | $74.13 | $117.49 | $251.19 | |
United
| Professional | $64.57 | $91.20 | $141.25 |