| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $124.60 | $143.66 | $169.78 | |
Aetna
| Professional | $93.54 | $123.32 | $169.10 | |
Ambetter
| Professional | $95.47 | $119.53 | $150.59 | |
BCBS
| Professional | $108.62 | $131.06 | $194.01 | |
Christus
| Facility | $98.25 | $122.69 | $122.69 | |
Cigna
| Facility | $1,350.00 | $1,350.00 | $1,350.00 | |
Cigna
| Professional | $92.00 | $134.00 | $180.70 | |
United
| Professional | $109.14 | $137.29 | $239.60 |