| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.47 | $41.47 | $49.43 | |
BCBS
| Professional | $67.83 | $67.83 | $99.06 | |
Cigna
| Professional | $66.51 | $67.83 | $82.55 | |
Providence
| Professional | $56.03 | $82.55 | $112.45 | |
United
| Professional | $75.98 | $87.32 | $140.60 |