| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.40 | $31.32 | $68.48 | |
BCBS
| Professional | $62.44 | $62.44 | $62.44 | |
Cigna
| Professional | $36.08 | $55.87 | $65.73 | |
Providence
| Professional | $39.79 | $56.37 | $73.19 | |
United
| Professional | $29.87 | $42.95 | $42.95 |