| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $160.93 | $227.02 | $276.13 | |
Aetna
| Professional | $156.86 | $206.96 | $276.13 | |
Aetna
| Professional | 25 | $231.95 | $853.00 | $853.00 |
Ambetter
| Professional | $232.02 | $232.02 | $232.02 | |
BCBS
| Facility | $116.01 | $237.83 | $363.34 | |
BCBS
| Professional | $161.66 | $211.37 | $296.04 | |
Christus
| Facility | $108.71 | $108.71 | $163.16 | |
Cigna
| Professional | $157.37 | $231.03 | $334.36 | |
United
| Professional | $199.13 | $277.05 | $407.84 |