| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.50 | $87.57 | $117.98 | |
Aetna
| Professional | $82.50 | $87.57 | $95.93 | |
BCBS
| Facility | $132.86 | $226.97 | $319.04 | |
BCBS
| Professional | $90.59 | $108.38 | $108.38 | |
Christus
| Facility | $40.00 | $40.00 | $40.00 | |
Cigna
| Facility | $132.63 | $132.63 | $132.63 | |
Cigna
| Professional | $96.83 | $132.63 | $132.63 | |
United
| Professional | $50.39 | $72.45 | $115.66 |