| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.00 | $234.00 | $290.00 | |
Ambetter
| Facility | $7.83 | $120.00 | $200.00 | |
BCBS
| Facility | $153.44 | $247.00 | $289.10 | |
Christus
| Facility | $28.00 | $118.75 | $275.00 | |
Cigna
| Facility | $167.00 | $213.00 | $252.00 | |
United
| Facility | $472.00 | $472.00 | $472.00 |