| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.53 | $11.53 | $11.54 | |
Aetna
| Facility | CQ | $15.34 | $15.34 | $144.50 |
Aetna
| Professional | $8.43 | $11.34 | $11.54 | |
BCBS
| Facility | $43.00 | $52.18 | $70.20 | |
BCBS
| Professional | $11.91 | $16.30 | $19.25 | |
Cigna
| Professional | $11.31 | $11.31 | $11.31 | |
United
| Professional | $9.85 | $11.96 | $14.77 |