| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $30.00 | $87.99 | |
BCBS
| Professional | $23.14 | $23.14 | $23.14 | |
Cigna
| Professional | $9.01 | $9.71 | $32.47 | |
Providence
| Professional | $9.71 | $17.10 | $31.81 | |
United
| Professional | $12.99 | $12.99 | $20.30 |