| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.71 | $21.45 | $93.00 | |
BCBS
| Professional | $13.60 | $17.94 | $48.47 | |
Cigna
| Professional | $38.11 | $38.11 | $38.11 | |
Providence
| Professional | $38.11 | $38.11 | $38.11 | |
United
| Professional | $25.52 | $29.15 | $40.02 |