| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $106.87 | $136.30 | $557.21 | |
BCBS
| Professional | $169.83 | $169.83 | $229.77 | |
Cigna
| Professional | $133.22 | $175.76 | $229.77 | |
Providence
| Professional | $107.60 | $169.83 | $236.00 | |
United
| Professional | $180.01 | $222.13 | $399.59 |