| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.36 | $107.85 | $392.00 | |
BCBS
| Professional | $113.57 | $113.57 | $113.57 | |
Cigna
| Professional | $94.94 | $113.57 | $203.53 | |
Providence
| Professional | $78.16 | $120.24 | $183.06 | |
United
| Professional | $125.91 | $146.90 | $186.88 |