| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.35 | $208.55 | $225.68 | |
Aetna
| Facility | CQ | $86.66 | $86.66 | $86.66 |
Aetna
| Professional | $14.40 | $26.36 | $32.08 | |
BCBS
| Facility | $64.66 | $74.29 | $82.73 | |
BCBS
| Professional | $26.57 | $37.96 | $51.00 | |
Cigna
| Facility | $155.82 | $155.82 | $155.82 | |
Cigna
| Professional | $34.26 | $74.95 | $114.99 | |
United
| Professional | $25.33 | $32.06 | $54.32 |