| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $225.00 | $600.00 | $1,041.00 | |
Ambetter
| Facility | $224.29 | $442.03 | $1,129.21 | |
Christus
| Facility | $28.00 | $1,005.70 | $1,005.70 | |
Cigna
| Facility | $275.00 | $750.00 | $2,500.00 |