| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.10 | $96.10 | $96.10 | |
Aetna
| Professional | $69.12 | $96.10 | $96.10 | |
Ambetter
| Professional | $34.50 | $57.38 | $63.24 | |
BCBS
| Professional | $21.83 | $32.76 | $32.90 | |
Christus
| Facility | $168.31 | $168.31 | $168.31 | |
Cigna
| Professional | $20.93 | $20.93 | $20.93 |