| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.05 | $19.05 | $19.05 | |
Aetna
| Professional | $19.05 | $19.05 | $19.05 | |
BCBS
| Facility | $18.20 | $18.20 | $18.20 | |
BCBS
| Professional | $18.20 | $18.20 | $18.62 | |
Christus
| Facility | $39.81 | $39.81 | $39.81 | |
United
| Facility | $22.91 | $22.91 | $26.30 | |
United
| Professional | $22.91 | $25.70 | $30.90 |