| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.25 | $166.24 | $420.01 | |
BCBS
| Professional | $126.72 | $126.72 | $351.76 | |
Cigna
| Professional | $83.32 | $185.39 | $409.44 | |
Providence
| Professional | $114.05 | $234.97 | $565.26 | |
United
| Professional | $255.00 | $317.89 | $417.20 |