| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.79 | $85.11 | $251.19 | |
Aetna
| Professional | $72.44 | $72.44 | $114.82 | |
Ambetter
| Professional | $30.20 | $48.98 | $97.72 | |
BCBS
| Facility | $74.13 | $74.13 | $74.13 | |
BCBS
| Professional | $39.81 | $39.81 | $74.13 | |
Christus
| Facility | $39.81 | $69.18 | $74.13 | |
Cigna
| Facility | $45.71 | $45.71 | $45.71 | |
Cigna
| Professional | $33.11 | $33.11 | $50.12 | |
United
| Facility | $29.51 | $66.07 | $74.13 | |
United
| Professional | $30.90 | $37.15 | $107.15 |