| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.99 | $78.87 | $107.91 | |
Aetna
| Professional | 25 | $83.74 | $97.52 | $134.13 |
Ambetter
| Professional | $94.29 | $94.29 | $118.23 | |
BCBS
| Professional | $52.81 | $81.97 | $106.67 | |
Christus
| Facility | $108.71 | $108.71 | $108.71 | |
Cigna
| Professional | $43.52 | $70.00 | $118.31 | |
United
| Professional | $42.30 | $72.36 | $111.10 |