| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.33 | $53.73 | $299.25 | |
BCBS
| Professional | $88.33 | $88.33 | $88.33 | |
Cigna
| Professional | $54.11 | $76.98 | $170.69 | |
Providence
| Professional | $56.78 | $97.53 | $145.56 | |
United
| Professional | $74.26 | $88.48 | $104.94 |