| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.96 | $19.50 | $87.10 | |
Aetna
| Professional | $7.94 | $10.00 | $30.90 | |
Aetna
| Professional | CQ | $7.59 | $7.76 | $20.42 |
BCBS
| Professional | $16.98 | $20.89 | $20.89 | |
Cigna
| Professional | $11.22 | $11.22 | $11.22 | |
United
| Professional | $13.18 | $21.88 | $36.31 |