| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $129.88 | $137.87 | $185.73 | |
Aetna
| Professional | $117.84 | $137.87 | $402.56 | |
BCBS
| Facility | $209.16 | $357.32 | $502.26 | |
BCBS
| Professional | $142.63 | $170.62 | $170.62 | |
Christus
| Facility | $40.00 | $40.00 | $40.00 | |
Cigna
| Facility | $152.55 | $152.55 | $153.72 | |
Cigna
| Professional | $111.36 | $134.37 | $153.72 | |
United
| Professional | $71.02 | $110.84 | $176.80 |