| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $249.34 | $249.34 | $256.23 | |
Aetna
| Professional | $249.34 | $265.14 | $300.63 | |
Ambetter
| Professional | $279.54 | $279.54 | $279.54 | |
Christus
| Facility | $10.72 | $10.72 | $10.72 | |
Cigna
| Professional | $22.70 | $22.70 | $22.70 | |
United
| Professional | $258.47 | $258.47 | $258.47 |