| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.37 | $25.37 | $25.37 | |
Aetna
| Professional | $15.22 | $26.89 | $163.13 | |
Ambetter
| Professional | $25.37 | $25.37 | $25.37 | |
BCBS
| Professional | $21.86 | $31.71 | $35.27 | |
Christus
| Facility | $21.56 | $21.56 | $25.37 | |
Cigna
| Professional | $13.05 | $29.38 | $51.88 | |
United
| Professional | $11.93 | $25.37 | $47.47 |