| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.17 | $45.17 | $97.00 | |
Aetna
| Facility | CQ | $34.75 | $69.48 | $69.48 |
Aetna
| Professional | $27.57 | $60.00 | $87.13 | |
Aetna
| Professional | CO | $21.11 | $76.94 | $115.41 |
Aetna
| Professional | CQ | $18.84 | $37.35 | $39.46 |
BCBS
| Professional | $39.00 | $49.00 | $49.00 | |
Cigna
| Facility | $75.00 | $75.00 | $75.00 | |
Cigna
| Professional | $30.11 | $39.15 | $67.19 | |
United
| Professional | $27.29 | $28.87 | $80.84 |