| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $129.22 | $148.22 | $175.43 | |
Ambetter
| Professional | $164.30 | $164.30 | $164.30 | |
BCBS
| Professional | $174.17 | $189.32 | $189.32 | |
Christus
| Facility | $409.66 | $409.66 | $409.66 | |
Cigna
| Facility | $130.68 | $130.68 | $203.75 | |
Cigna
| Professional | $111.08 | $130.68 | $241.50 | |
United
| Professional | $71.54 | $110.03 | $158.97 |