| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.74 | $80.29 | $102.84 | |
BCBS
| Professional | $75.98 | $87.15 | $102.53 | |
Cigna
| Professional | $75.98 | $89.39 | $162.96 | |
Providence
| Professional | $51.71 | $103.52 | $172.54 | |
United
| Professional | $139.19 | $167.01 | $185.70 |