| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.31 | $51.31 | $166.50 | |
Aetna
| Professional | $51.31 | $51.31 | $76.95 | |
BCBS
| Facility | $77.00 | $77.00 | $115.50 | |
BCBS
| Professional | $41.06 | $51.33 | $56.95 | |
Christus
| Facility | $51.31 | $51.31 | $51.31 | |
Cigna
| Facility | $33.35 | $33.35 | $33.35 | |
United
| Professional | $21.55 | $30.79 | $74.40 |