| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.26 | $20.26 | $20.26 | |
Aetna
| Professional | $12.16 | $24.51 | $29.58 | |
Ambetter
| Professional | $31.44 | $31.44 | $31.44 | |
BCBS
| Professional | $20.26 | $25.93 | $36.47 | |
Christus
| Facility | $20.26 | $20.26 | $20.26 | |
Cigna
| Professional | $12.26 | $28.05 | $43.41 | |
United
| Professional | $12.16 | $22.29 | $39.24 |