| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.49 | $299.74 | $299.74 | |
Aetna
| Professional | $299.74 | $299.74 | $312.12 | |
Ambetter
| Professional | $55.50 | $177.20 | $177.20 | |
BCBS
| Facility | $215.90 | $466.52 | $631.66 | |
BCBS
| Professional | $185.00 | $233.04 | $499.50 | |
Christus
| Facility | $630.00 | $630.00 | $630.00 |