| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.96 | $71.00 | $210.85 | |
BCBS
| Professional | $36.28 | $36.28 | $36.28 | |
Cigna
| Professional | $24.15 | $36.28 | $66.59 | |
Providence
| Professional | $17.17 | $24.15 | $49.57 | |
United
| Professional | $14.44 | $14.44 | $43.51 |