| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.67 | $19.73 | $31.68 | |
Aetna
| Facility | CQ | $18.23 | $18.23 | $18.23 |
Aetna
| Professional | $7.68 | $9.60 | $19.82 | |
Cigna
| Professional | $11.31 | $11.31 | $11.31 | |
United
| Professional | $9.27 | $12.71 | $31.39 |