| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.20 | $109.65 | $123.03 | |
Aetna
| Professional | $70.79 | $107.15 | $181.97 | |
Ambetter
| Professional | $83.18 | $109.65 | $134.90 | |
BCBS
| Professional | $75.86 | $95.50 | $123.03 | |
Christus
| Facility | $107.15 | $107.15 | $107.15 | |
Cigna
| Facility | $125.89 | $125.89 | $134.90 | |
Cigna
| Professional | $83.18 | $117.49 | $190.55 | |
United
| Professional | $81.28 | $112.20 | $169.82 |