| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $148.58 | $157.72 | $212.47 | |
Aetna
| Professional | $141.63 | $157.71 | $206.46 | |
BCBS
| Facility | $239.28 | $408.77 | $574.58 | |
BCBS
| Professional | $163.18 | $195.18 | $195.18 | |
Christus
| Facility | $40.00 | $40.00 | $40.00 | |
Cigna
| Facility | $190.78 | $190.78 | $190.78 | |
Cigna
| Professional | $139.27 | $190.78 | $190.78 | |
United
| Professional | $86.76 | $130.13 | $200.52 |