| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.46 | $65.42 | $659.10 | |
Aetna
| Professional | $11.60 | $21.07 | $164.80 | |
Ambetter
| Professional | $11.63 | $14.15 | $54.76 | |
BCBS
| Facility | $0.02 | $0.03 | $0.03 | |
BCBS
| Professional | $11.65 | $22.20 | $72.48 | |
Christus
| Facility | $12.75 | $12.75 | $12.75 | |
Cigna
| Professional | $12.56 | $36.33 | $69.06 | |
United
| Professional | $42.06 | $53.60 | $92.07 |