| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.25 | $141.25 | $199.53 | |
Aetna
| Professional | $141.25 | $141.25 | $141.25 | |
BCBS
| Facility | $0.02 | $0.02 | $0.03 | |
BCBS
| Professional | $223.87 | $223.87 | $223.87 | |
Christus
| Facility | $39.81 | $39.81 | $39.81 | |
Cigna
| Facility | $223.87 | $223.87 | $223.87 | |
Cigna
| Professional | $162.18 | $162.18 | $223.87 | |
United
| Facility | $128.82 | $169.82 | $213.80 | |
United
| Professional | $114.82 | $158.49 | $269.15 |