| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $97.68 | $134.16 | $206.22 | |
Ambetter
| Professional | $106.45 | $106.45 | $167.99 | |
BCBS
| Professional | $158.21 | $171.97 | $171.97 | |
Christus
| Facility | $426.40 | $426.40 | $426.40 | |
Cigna
| Facility | $129.12 | $129.12 | $184.40 | |
Cigna
| Professional | $109.75 | $129.12 | $202.50 | |
United
| Professional | $66.95 | $111.88 | $148.60 |