| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $115.49 | $127.46 | $504.00 | |
BCBS
| Professional | $192.97 | $192.97 | $192.97 | |
Cigna
| Professional | $119.03 | $174.39 | $321.45 | |
Providence
| Professional | $134.90 | $192.97 | $325.26 | |
United
| Professional | $170.80 | $218.40 | $257.39 |