| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $121.81 | $178.83 | $235.45 | |
Aetna
| Professional | $115.27 | $146.90 | $200.18 | |
Aetna
| Professional | 25 | $152.01 | $152.01 | $152.01 |
BCBS
| Facility | $114.88 | $216.26 | $307.54 | |
BCBS
| Professional | $112.75 | $146.07 | $209.48 | |
Christus
| Facility | $112.40 | $112.40 | $119.93 | |
Cigna
| Professional | $115.74 | $170.39 | $247.83 | |
United
| Professional | $135.74 | $198.02 | $308.37 |