| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.40 | $17.62 | $48.10 | |
Aetna
| Professional | CQ | $17.46 | $17.46 | $17.46 |
BCBS
| Professional | $45.46 | $47.85 | $47.85 | |
Cigna
| Professional | $25.31 | $40.67 | $47.85 | |
Providence
| Professional | $25.31 | $40.67 | $56.59 | |
United
| Professional | $23.60 | $29.95 | $30.50 |