| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.35 | $76.94 | $133.81 | |
BCBS
| Professional | $74.43 | $78.34 | $124.09 | |
Cigna
| Professional | $44.26 | $78.34 | $128.62 | |
Providence
| Professional | $55.87 | $94.21 | $152.63 | |
United
| Professional | $104.34 | $125.86 | $147.84 |