| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $675.45 | $795.20 | $1,331.65 | |
BCBS
| Professional | $1,284.00 | $1,284.00 | $1,284.00 | |
Cigna
| Professional | $786.08 | $1,155.59 | $1,593.34 | |
Providence
| Professional | $852.42 | $1,278.77 | $2,069.60 | |
United
| Professional | $529.17 | $1,138.03 | $1,353.00 |