| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.40 | $20.58 | $64.68 | |
Aetna
| Professional | CQ | $17.46 | $17.46 | $17.46 |
Anthem BCBS
| Professional | $13.13 | $15.83 | $40.07 | |
Cigna
| Professional | $17.72 | $38.70 | $108.10 | |
Medica
| Professional | $19.11 | $25.46 | $189.35 | |
United
| Professional | $19.01 | $25.46 | $36.20 |