| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $102.33 | $117.49 | |
Aetna
| Professional | $69.18 | $112.20 | $302.00 | |
Ambetter
| Professional | $95.50 | $112.20 | $165.96 | |
BCBS
| Facility | $0.02 | $0.02 | $0.03 | |
BCBS
| Professional | $102.33 | $114.82 | $125.89 | |
Christus
| Facility | $39.81 | $100.00 | $100.00 | |
Cigna
| Facility | $181.97 | $181.97 | $181.97 | |
Cigna
| Professional | $95.50 | $125.89 | $190.55 | |
United
| Professional | $83.18 | $109.65 | $165.96 |