| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.53 | $490.43 | $1,602.51 | |
BCBS
| Professional | $139.34 | $139.34 | $139.34 | |
Cigna
| Professional | $139.34 | $173.03 | $479.00 | |
Providence
| Professional | $139.34 | $293.42 | $654.08 | |
United
| Professional | $412.59 | $497.38 | $823.26 |