| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.20 | $107.42 | $107.42 | |
Aetna
| Professional | $87.20 | $107.42 | $122.43 | |
BCBS
| Facility | $0.02 | $0.03 | $0.03 | |
BCBS
| Professional | $98.41 | $151.99 | $151.99 | |
Christus
| Facility | $40.00 | $40.00 | $40.00 | |
Cigna
| Professional | $62.01 | $62.01 | $62.01 | |
United
| Professional | $42.97 | $72.16 | $104.49 |