| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $158.18 | $180.00 | $903.87 | |
BCBS
| Professional | $225.57 | $225.57 | $225.57 | |
Cigna
| Professional | $241.66 | $284.31 | $599.87 | |
Providence
| Professional | $157.72 | $242.64 | $362.93 | |
United
| Professional | $238.17 | $275.52 | $404.23 |