| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.12 | $33.88 | $128.82 | |
Aetna
| Professional | CQ | $77.62 | $87.10 | $204.17 |
BCBS
| Professional | $52.48 | $66.07 | $66.07 | |
Cigna
| Facility | $75.86 | $75.86 | $75.86 | |
Cigna
| Professional | $43.65 | $56.23 | $100.00 | |
United
| Professional | $36.31 | $39.81 | $43.65 |