| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.04 | $23.04 | $23.04 | |
Aetna
| Professional | $13.82 | $25.57 | $148.15 | |
Ambetter
| Professional | $23.04 | $23.04 | $23.04 | |
BCBS
| Professional | $20.61 | $27.76 | $33.22 | |
Christus
| Facility | $23.04 | $23.04 | $23.04 | |
Cigna
| Professional | $12.26 | $28.05 | $47.16 | |
United
| Professional | $11.53 | $23.04 | $43.11 |