| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $120.23 | $158.49 | $199.53 | |
Ambetter
| Professional | $117.49 | $154.88 | $295.12 | |
Ambetter
| Professional | 25 | $144.54 | $165.96 | $181.97 |
BCBS
| Professional | $177.83 | $186.21 | $186.21 | |
Christus
| Facility | $169.82 | $169.82 | $169.82 | |
Cigna
| Professional | $147.91 | $154.88 | $380.19 | |
United
| Professional | $134.90 | $169.82 | $234.42 |