| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.48 | $74.13 | $93.33 | |
Ambetter
| Professional | $60.26 | $61.66 | $70.79 | |
Ambetter
| Professional | 25 | $53.70 | $53.70 | $60.26 |
BCBS
| Professional | $72.44 | $77.62 | $77.62 | |
Christus
| Facility | $81.28 | $81.28 | $81.28 | |
Cigna
| Professional | $63.10 | $72.44 | $158.49 | |
United
| Professional | $64.57 | $81.28 | $109.65 |