| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $83.18 | $112.20 | $144.54 | |
Ambetter
| Professional | $102.33 | $102.33 | $125.89 | |
Ambetter
| Professional | 25 | $100.00 | $100.00 | $100.00 |
BCBS
| Professional | $120.23 | $128.82 | $128.82 | |
Christus
| Facility | $123.03 | $123.03 | $123.03 | |
Cigna
| Professional | $104.71 | $107.15 | $263.03 | |
United
| Professional | $97.72 | $120.23 | $165.96 |