| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.14 | $249.71 | $249.71 | |
BCBS
| Professional | $36.28 | $36.28 | $66.25 | |
Cigna
| Professional | $66.25 | $127.53 | $277.97 | |
Providence
| Professional | $40.76 | $57.75 | $91.28 | |
United
| Professional | $37.72 | $67.84 | $115.63 |