| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.62 | $64.14 | $301.26 | |
Aetna
| Facility | CQ | $62.73 | $95.48 | $344.87 |
Aetna
| Professional | $12.00 | $23.98 | $29.73 | |
BCBS
| Facility | $58.01 | $63.46 | $72.81 | |
BCBS
| Professional | $21.79 | $31.13 | $46.88 | |
Cigna
| Professional | $31.09 | $74.13 | $114.99 | |
United
| Professional | $22.69 | $29.24 | $48.72 |