| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $221.18 | $241.27 | $591.48 | |
Aetna
| Facility | CQ | $217.98 | $296.54 | $296.54 |
Aetna
| Professional | $14.40 | $26.40 | $32.07 | |
BCBS
| Facility | $30.74 | $77.43 | $95.63 | |
BCBS
| Professional | $28.74 | $41.06 | $51.00 | |
Cigna
| Professional | $36.11 | $75.50 | $114.99 | |
United
| Professional | $27.92 | $35.11 | $57.07 |