| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $955.00 | $1,539.00 | $3,900.00 | |
Christus
| Facility | $12.00 | $18.00 | $45.00 | |
Lucent Health
| Facility | $2,335.00 | $5,000.00 | $5,000.00 | |
United
| Facility | $944.00 | $944.00 | $1,445.00 |