| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.78 | $36.49 | $104.81 | |
Aetna
| Professional | $24.48 | $29.19 | $49.07 | |
Ambetter
| Professional | $26.31 | $26.31 | $39.58 | |
BCBS
| Facility | $0.02 | $0.03 | $0.03 | |
BCBS
| Professional | $23.41 | $28.04 | $46.29 | |
Christus
| Facility | $22.90 | $22.90 | $23.46 | |
Cigna
| Professional | $23.94 | $32.78 | $52.01 | |
United
| Professional | $20.07 | $27.37 | $42.50 |