| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.04 | $254.07 | $321.49 | |
Aetna
| Facility | CQ | $104.12 | $104.12 | $104.12 |
Aetna
| Professional | $14.40 | $25.21 | $31.07 | |
BCBS
| Facility | $31.78 | $72.31 | $82.09 | |
BCBS
| Professional | $24.24 | $34.63 | $51.00 | |
Cigna
| Professional | $33.43 | $73.80 | $114.99 | |
United
| Professional | $26.09 | $31.76 | $53.01 |