| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.48 | $85.71 | $197.14 | |
Aetna
| Professional | $47.61 | $53.21 | $86.01 | |
Aetna
| Professional | CO | $119.36 | $119.36 | $119.36 |
Aetna
| Professional | CQ | $316.02 | $316.02 | $316.02 |
BCBS
| Facility | $51.73 | $70.00 | $89.96 | |
BCBS
| Professional | $38.67 | $48.58 | $79.13 | |
Cigna
| Facility | $61.19 | $70.00 | $85.00 | |
Cigna
| Professional | $40.88 | $62.81 | $114.34 | |
United
| Professional | $41.42 | $50.14 | $75.41 |