| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $825.00 | $1,428.00 | $4,189.00 | |
Christus
| Facility | $26.00 | $40.00 | $2,213.00 | |
Cigna
| Facility | $975.00 | $1,275.00 | $2,704.00 | |
United
| Facility | $450.00 | $865.00 | $1,476.00 |