| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $126.00 | $151.19 | $158.40 | |
BCBS
| Professional | $123.04 | $123.04 | $123.04 | |
Providence
| Professional | $64.70 | $93.46 | $164.24 | |
United
| Professional | $40.93 | $45.76 | $75.03 |