| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.15 | $75.00 | $86.82 | |
BCBS
| Professional | $116.24 | $116.24 | $116.24 | |
Cigna
| Professional | $47.79 | $47.79 | $47.79 | |
Providence
| Facility | $82.35 | $89.36 | $119.03 | |
Providence
| Professional | $82.82 | $117.32 | $139.49 | |
United
| Professional | $45.62 | $50.47 | $57.78 |