| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.74 | $140.13 | $142.90 | |
Aetna
| Professional | $138.74 | $140.13 | $166.49 | |
BCBS
| Facility | $119.89 | $154.49 | $200.63 | |
BCBS
| Professional | $150.01 | $150.01 | $153.01 | |
Christus
| Facility | $121.37 | $121.37 | $121.37 | |
Cigna
| Facility | $130.88 | $130.88 | $138.74 | |
Cigna
| Professional | $138.74 | $138.74 | $138.74 | |
United
| Professional | $131.83 | $138.74 | $239.70 |