| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $165.67 | $960.00 | $3,245.00 | |
Aetna
| Facility | 53 | $28.74 | $38.49 | $75.84 |
Aetna
| Professional | $94.54 | $222.11 | $384.06 | |
Ambetter
| Professional | $92.12 | $117.19 | $419.72 | |
BCBS
| Facility | $677.87 | $1,341.79 | $2,360.78 | |
BCBS
| Professional | $121.69 | $187.73 | $400.03 | |
Christus
| Facility | $452.46 | $452.46 | $452.46 | |
Cigna
| Facility | $400.00 | $400.00 | $400.00 | |
Cigna
| Professional | $105.94 | $179.93 | $389.49 | |
United
| Facility | $341.00 | $1,086.00 | $2,755.00 | |
United
| Professional | $206.69 | $289.14 | $496.98 |