| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.83 | $68.36 | $140.44 | |
BCBS
| Professional | $71.45 | $79.40 | $162.47 | |
Cigna
| Professional | $71.45 | $103.63 | $165.29 | |
Providence
| Professional | $53.63 | $91.37 | $165.29 | |
United
| Professional | $135.69 | $165.30 | $197.64 |