| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.11 | $41.69 | $48.98 | |
Aetna
| Professional | $22.91 | $37.15 | $54.95 | |
Ambetter
| Professional | $38.90 | $48.98 | $61.66 | |
Ambetter
| Professional | 25 | $45.71 | $50.12 | $54.95 |
Christus
| Facility | $38.02 | $38.02 | $54.95 | |
Cigna
| Professional | $32.36 | $46.77 | $74.13 | |
United
| Professional | $27.54 | $44.67 | $67.61 |