| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.99 | $62.45 | $201.00 | |
BCBS
| Professional | $51.00 | $51.00 | $51.00 | |
Cigna
| Professional | $57.32 | $57.32 | $126.92 | |
Providence
| Professional | $32.67 | $49.02 | $71.76 | |
United
| Professional | $49.93 | $57.61 | $91.76 |