| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.12 | $59.02 | $460.00 | |
Aetna
| Facility | CQ | $86.92 | $86.92 | $86.92 |
Aetna
| Professional | $13.00 | $20.26 | $27.39 | |
BCBS
| Facility | $54.35 | $59.31 | $66.59 | |
BCBS
| Professional | $20.56 | $29.37 | $43.13 | |
Cigna
| Professional | $29.27 | $75.37 | $114.99 | |
United
| Professional | $20.85 | $27.16 | $44.82 |