| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.40 | $18.14 | $52.41 | |
Aetna
| Professional | CQ | $17.46 | $17.46 | $17.46 |
BCBS
| Professional | $15.05 | $20.05 | $25.08 | |
Cigna
| Professional | $24.36 | $60.00 | $106.98 | |
Medica
| Professional | $21.46 | $27.26 | $189.35 | |
United
| Professional | $21.08 | $26.50 | $31.35 |