| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.84 | $186.97 | $396.76 | |
BCBS
| Professional | $32.60 | $32.60 | $111.47 | |
Cigna
| Professional | $94.66 | $118.15 | $180.62 | |
Providence
| Professional | $72.55 | $122.85 | $185.99 | |
United
| Professional | $106.09 | $122.73 | $194.24 |