| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | CQ | $204.17 | $204.17 | $204.17 |
Aetna
| Professional | $8.91 | $10.96 | $32.36 | |
BCBS
| Facility | $25.12 | $29.51 | $42.66 | |
BCBS
| Professional | $8.51 | $11.22 | $19.05 | |
Cigna
| Professional | $11.22 | $11.22 | $11.22 | |
United
| Facility | $12.59 | $12.59 | $12.59 | |
United
| Professional | $12.02 | $15.49 | $26.92 |