| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.51 | $199.00 | $298.36 | |
BCBS
| Professional | $192.97 | $192.97 | $420.11 | |
Cigna
| Professional | $192.97 | $197.30 | $420.11 | |
Providence
| Professional | $124.78 | $263.01 | $438.37 | |
United
| Professional | $337.45 | $416.43 | $751.09 |