| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $94.57 | $124.37 | $231.01 | |
BCBS
| Professional | $152.47 | $152.47 | $263.11 | |
Cigna
| Professional | $128.35 | $154.81 | $219.26 | |
Providence
| Professional | $96.39 | $152.47 | $219.26 | |
United
| Professional | $168.73 | $211.81 | $381.11 |