| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $99.59 | $177.46 | $581.66 | |
BCBS
| Professional | $150.62 | $177.19 | $248.70 | |
Cigna
| Professional | $103.09 | $173.18 | $261.32 | |
Providence
| Professional | $128.26 | $205.38 | $308.69 | |
United
| Professional | $211.03 | $252.00 | $287.36 |