| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,213.00 | $7,452.00 | $7,543.00 | |
Christus
| Facility | $12.00 | $18.00 | $45.00 | |
Cigna
| Facility | $3,859.00 | $6,217.00 | $6,998.00 | |
Providence
| Facility | $3,859.00 | $6,217.00 | $7,411.00 |