| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.17 | $85.10 | $114.64 | |
Aetna
| Professional | $70.45 | $82.50 | $92.51 | |
BCBS
| Facility | $129.11 | $220.57 | $310.04 | |
BCBS
| Professional | $88.05 | $105.32 | $105.32 | |
Christus
| Facility | $40.00 | $40.00 | $40.00 | |
Cigna
| Facility | $83.71 | $83.71 | $83.71 | |
Cigna
| Professional | $61.11 | $61.11 | $83.71 | |
United
| Facility | $41.99 | $65.33 | $76.91 | |
United
| Professional | $43.95 | $70.42 | $104.86 |