| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.91 | $160.51 | $163.68 | |
Aetna
| Professional | $158.91 | $158.91 | $163.68 | |
BCBS
| Facility | $30.32 | $35.57 | $163.63 | |
BCBS
| Professional | $163.63 | $163.63 | $163.63 | |
Christus
| Facility | $40.00 | $40.00 | $40.00 | |
Cigna
| Facility | $149.91 | $149.91 | $158.91 | |
Cigna
| Professional | $151.58 | $158.91 | $158.91 | |
United
| Professional | $63.57 | $158.91 | $270.95 |