| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.25 | $35.00 | $1,032.00 | |
BCBS
| Professional | $432.00 | $432.00 | $432.00 | |
Providence
| Professional | $325.00 | $390.00 | $495.12 | |
United
| Professional | $53.00 | $60.00 | $91.00 |