| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.08 | $130.08 | $130.08 | |
Aetna
| Professional | $118.13 | $130.08 | $130.08 | |
Ambetter
| Professional | $57.38 | $57.38 | $76.50 | |
BCBS
| Professional | $74.63 | $75.31 | $87.60 | |
Christus
| Facility | $223.57 | $223.57 | $223.57 | |
Cigna
| Professional | $13.17 | $13.17 | $13.17 |