| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $273.20 | $1,172.00 | $3,500.00 | |
Aetna
| Facility | 50 | $3,980.45 | $3,980.45 | $15,922.08 |
Ambetter
| Professional | 50 | $194.83 | $203.69 | $203.69 |
BCBS
| Facility | $0.78 | $1.65 | $2.21 | |
Christus
| Facility | $40.00 | $105.70 | $105.70 | |
United
| Facility | $210.00 | $580.00 | $1,506.00 |