| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.80 | $125.04 | $127.52 | |
Aetna
| Professional | $123.80 | $125.04 | $136.18 | |
BCBS
| Facility | $141.27 | $141.27 | $211.91 | |
BCBS
| Professional | $141.27 | $141.27 | $144.10 | |
Christus
| Facility | $121.37 | $121.37 | $121.37 | |
Cigna
| Facility | $116.79 | $116.79 | $123.80 | |
Cigna
| Professional | $123.80 | $123.80 | $123.80 | |
United
| Professional | $117.63 | $123.80 | $153.01 |