| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.55 | $31.55 | $50.94 | |
Aetna
| Professional | $14.98 | $23.98 | $36.94 | |
Aetna
| Professional | CQ | $296.05 | $296.05 | $296.05 |
BCBS
| Facility | $46.88 | $74.20 | $126.99 | |
BCBS
| Professional | $23.02 | $29.57 | $51.81 | |
Cigna
| Facility | $55.80 | $70.00 | $85.00 | |
Cigna
| Professional | $24.63 | $42.46 | $111.17 | |
United
| Professional | $26.49 | $32.64 | $43.93 |