| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.20 | $112.20 | $120.23 | |
Aetna
| Professional | $93.33 | $117.49 | $134.90 | |
BCBS
| Facility | $0.02 | $0.02 | $0.02 | |
Christus
| Facility | $120.23 | $120.23 | $120.23 | |
United
| Professional | $107.15 | $125.89 | $128.82 |