| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.03 | $169.75 | $193.12 | |
Aetna
| Facility | CQ | $135.85 | $135.85 | $135.85 |
Aetna
| Professional | $34.84 | $62.04 | $149.16 | |
Aetna
| Professional | CO | $20.34 | $39.97 | $91.16 |
Aetna
| Professional | CQ | $22.84 | $31.64 | $55.04 |
BCBS
| Professional | $49.00 | $61.00 | $61.00 | |
Cigna
| Facility | $75.00 | $75.00 | $75.00 | |
Cigna
| Professional | $33.69 | $46.95 | $83.83 | |
United
| Professional | $30.24 | $36.09 | $36.09 |