| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $122.42 | $122.42 | $122.42 | |
Aetna
| Professional | $99.11 | $122.42 | $122.42 | |
Ambetter
| Professional | $76.50 | $76.50 | $76.50 | |
BCBS
| Professional | $43.23 | $45.56 | $50.75 | |
Christus
| Facility | $222.52 | $222.52 | $222.52 | |
Cigna
| Professional | $9.85 | $9.85 | $9.85 |