| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $76.26 | $84.77 | $119.49 | |
BCBS
| Professional | $129.35 | $129.35 | $129.35 | |
Cigna
| Professional | $109.95 | $129.35 | $424.05 | |
Providence
| Professional | $84.08 | $129.35 | $196.03 | |
United
| Professional | $125.49 | $152.19 | $181.56 |