| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $166.39 | $203.14 | $273.64 | |
Aetna
| Professional | $168.16 | $203.14 | $244.74 | |
BCBS
| Facility | $308.18 | $526.48 | $740.03 | |
BCBS
| Professional | $210.17 | $251.38 | $251.38 | |
Christus
| Facility | $40.00 | $40.00 | $40.00 | |
Cigna
| Facility | $212.98 | $212.98 | $212.98 | |
Cigna
| Professional | $155.47 | $212.98 | $298.63 | |
United
| Professional | $104.64 | $163.32 | $248.95 |