| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.29 | $82.29 | $380.00 | |
BCBS
| Professional | $407.50 | $407.50 | $407.50 | |
Cigna
| Professional | $117.01 | $407.50 | $978.65 | |
Providence
| Professional | $117.42 | $370.83 | $642.64 | |
United
| Professional | $112.71 | $130.38 | $154.71 |