| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.20 | $156.77 | $686.00 | |
BCBS
| Professional | $201.91 | $201.91 | $242.39 | |
Cigna
| Professional | $110.09 | $201.91 | $258.99 | |
Providence
| Professional | $143.96 | $215.96 | $306.63 | |
United
| Professional | $207.28 | $251.38 | $282.25 |