| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,090.30 | $3,090.30 | $3,090.30 | |
Christus
| Facility | $39.81 | $1,479.11 | $2,137.96 | |
Cigna
| Facility | $95,499.26 | $95,499.26 | $95,499.26 | |
United
| Facility | $676.08 | $891.25 | $1,023.29 |