| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $61.74 | $77.22 | $100.50 |
Aetna
| Professional | $165.34 | $236.33 | $342.58 | |
Aetna
| Professional | 26 | $39.96 | $70.01 | $97.43 |
BCBS
| Professional | $250.19 | $280.61 | $357.09 | |
BCBS
| Professional | 26 | $70.00 | $82.83 | $96.87 |
Christus
| Professional | 26 | $54.10 | $54.10 | $57.11 |
Cigna
| Professional | $125.63 | $211.31 | $377.84 | |
Cigna
| Professional | 26 | $36.90 | $59.94 | $109.86 |
United
| Professional | $146.31 | $220.85 | $321.17 | |
United
| Professional | 26 | $42.64 | $64.23 | $108.28 |