| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $84.86 | $103.53 | $121.08 | |
BCBS
| Professional | $123.04 | $123.04 | $138.81 | |
Cigna
| Professional | $92.69 | $117.99 | $141.38 | |
Providence
| Professional | $82.72 | $119.15 | $164.09 | |
United
| Professional | $120.15 | $149.52 | $169.23 |