| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.05 | $43.84 | $58.33 | |
Aetna
| Facility | CQ | $36.36 | $49.22 | $316.31 |
Aetna
| Professional | $13.00 | $17.78 | $29.73 | |
Cigna
| Facility | $65.00 | $65.00 | $65.00 | |
Cigna
| Professional | $29.27 | $84.66 | $117.60 | |
Highmark BCBS
| Professional | CQ | $23.10 | $23.10 | $23.10 |
United
| Professional | $21.66 | $27.79 | $64.34 |