| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.92 | $40.74 | $165.96 | |
Aetna
| Professional | $21.88 | $52.48 | $97.72 | |
Ambetter
| Professional | $30.90 | $30.90 | $30.90 | |
BCBS
| Facility | $0.02 | $0.02 | $0.03 | |
BCBS
| Professional | $19.50 | $46.77 | $64.57 | |
Christus
| Facility | $20.89 | $20.89 | $20.89 | |
Cigna
| Professional | $25.12 | $54.95 | $104.71 | |
United
| Professional | $21.88 | $58.88 | $107.15 |