| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.54 | $117.82 | $156.53 | |
Aetna
| Professional | 25 | $31.36 | $138.03 | $164.25 |
Ambetter
| Professional | $81.33 | $81.33 | $133.84 | |
BCBS
| Professional | $79.70 | $119.21 | $151.22 | |
Christus
| Facility | $108.71 | $108.71 | $108.71 | |
Cigna
| Professional | $60.31 | $102.08 | $168.26 | |
United
| Professional | $76.13 | $106.34 | $154.56 |