| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.49 | $46.73 | $258.91 | |
BCBS
| Professional | $65.70 | $70.61 | $83.08 | |
Cigna
| Professional | $65.70 | $81.48 | $85.55 | |
Providence
| Professional | $49.82 | $77.64 | $100.48 | |
United
| Professional | $74.83 | $86.99 | $95.06 |