| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.34 | $78.54 | $161.57 | |
BCBS
| Professional | $85.18 | $85.18 | $174.62 | |
Cigna
| Professional | $85.18 | $119.84 | $194.02 | |
Providence
| Professional | $62.04 | $105.92 | $194.02 | |
United
| Professional | $160.80 | $194.95 | $229.15 |