| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.45 | $54.55 | $400.00 | |
BCBS
| Professional | $352.81 | $352.81 | $352.81 | |
Cigna
| Professional | $59.02 | $352.81 | $855.58 | |
Providence
| Professional | $59.23 | $321.48 | $556.92 | |
United
| Professional | $58.76 | $66.67 | $312.70 |