| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.00 | $140.00 | $200.20 | |
Aetna
| Professional | $140.00 | $140.00 | $140.00 | |
BCBS
| Facility | $0.02 | $0.03 | $0.03 | |
BCBS
| Professional | $206.30 | $224.24 | $224.24 | |
Christus
| Facility | $40.00 | $40.00 | $40.00 | |
Cigna
| Facility | $223.29 | $223.29 | $223.29 | |
Cigna
| Professional | $163.00 | $163.00 | $223.29 | |
United
| Professional | $113.76 | $158.29 | $263.81 |