| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $66.93 | $93.64 | $311.00 | |
Aetna
| Professional | 52 | $34.50 | $46.82 | $188.92 |
BCBS
| Professional | $113.57 | $113.57 | $113.57 | |
Cigna
| Professional | $75.37 | $113.57 | $172.59 | |
Providence
| Professional | $73.25 | $112.69 | $179.28 | |
United
| Professional | $104.00 | $118.25 | $164.00 |