| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.60 | $105.75 | $516.42 | |
BCBS
| Professional | $69.27 | $81.50 | $165.10 | |
Cigna
| Professional | $44.40 | $87.58 | $160.62 | |
Providence
| Professional | $69.28 | $110.76 | $199.08 | |
United
| Professional | $125.85 | $156.24 | $182.16 |