| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $115.87 | $123.00 | $165.69 | |
Aetna
| Professional | $72.00 | $115.87 | $133.69 | |
BCBS
| Facility | $186.60 | $318.77 | $448.09 | |
BCBS
| Professional | $50.66 | $126.84 | $126.84 | |
Christus
| Facility | $40.00 | $40.00 | $40.00 | |
Cigna
| Facility | $52.17 | $52.17 | $52.17 | |
Cigna
| Professional | $38.08 | $52.17 | $52.17 | |
United
| Professional | $63.35 | $106.00 | $166.07 |