| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $184.15 | $186.08 | $224.38 | |
Aetna
| Professional | $124.15 | $186.08 | $251.81 | |
Ambetter
| Professional | $166.85 | $166.85 | $166.85 | |
BCBS
| Facility | $0.02 | $0.03 | $0.03 | |
BCBS
| Professional | $164.80 | $190.97 | $280.57 | |
Christus
| Facility | $132.40 | $132.40 | $132.40 | |
Cigna
| Professional | $149.90 | $187.11 | $289.58 | |
United
| Professional | $136.29 | $175.70 | $303.76 |