| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $371.54 | $457.09 | $457.09 | |
Aetna
| Professional | $281.84 | $331.13 | $457.09 | |
Ambetter
| Professional | $257.04 | $295.12 | $323.59 | |
BCBS
| Facility | $0.02 | $0.02 | $0.02 | |
BCBS
| Professional | $323.59 | $371.54 | $407.38 | |
Christus
| Facility | $269.15 | $269.15 | $269.15 | |
Cigna
| Professional | $302.00 | $407.38 | $602.56 | |
United
| Professional | $269.15 | $338.84 | $588.84 |