| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.82 | $114.82 | $158.49 | |
Aetna
| Professional | $85.11 | $107.15 | $158.49 | |
Ambetter
| Professional | $151.36 | $154.88 | $204.17 | |
BCBS
| Facility | $177.83 | $302.00 | $416.87 | |
BCBS
| Professional | $144.54 | $144.54 | $144.54 | |
Christus
| Facility | $39.81 | $39.81 | $39.81 | |
Cigna
| Facility | $112.20 | $112.20 | $112.20 | |
Cigna
| Professional | $83.18 | $83.18 | $114.82 | |
United
| Facility | $69.18 | $162.18 | $245.47 | |
United
| Professional | $60.26 | $93.33 | $134.90 |