| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.49 | $144.54 | $144.54 | |
Aetna
| Professional | $87.10 | $104.71 | $181.97 | |
Ambetter
| Professional | $79.43 | $97.72 | $141.25 | |
BCBS
| Facility | $0.02 | $0.02 | $0.02 | |
BCBS
| Professional | $107.15 | $125.89 | $138.04 | |
Christus
| Facility | $89.13 | $89.13 | $89.13 | |
Cigna
| Professional | $97.72 | $128.82 | $199.53 | |
United
| Professional | $87.10 | $107.15 | $186.21 |