| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.18 | $97.72 | $112.20 | |
Aetna
| Professional | $58.88 | $77.62 | $104.71 | |
Ambetter
| Professional | $69.18 | $69.18 | $70.79 | |
BCBS
| Professional | $69.18 | $81.28 | $100.00 | |
Christus
| Facility | $61.66 | $61.66 | $74.13 | |
Cigna
| Professional | $54.95 | $83.18 | $114.82 | |
United
| Professional | $64.57 | $83.18 | $141.25 |