| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.44 | $72.44 | $102.33 | |
Aetna
| Professional | $57.54 | $60.26 | $72.44 | |
BCBS
| Facility | $64.57 | $64.57 | $64.57 | |
BCBS
| Professional | $64.57 | $64.57 | $64.57 | |
Christus
| Facility | $39.81 | $39.81 | $39.81 | |
Cigna
| Facility | $61.66 | $61.66 | $61.66 | |
Cigna
| Professional | $61.66 | $61.66 | $61.66 | |
United
| Facility | $123.03 | $151.36 | $173.78 | |
United
| Professional | $53.70 | $60.26 | $64.57 |