| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $159.88 | $866.42 | $866.42 | |
BCBS
| Professional | $222.94 | $222.94 | $222.94 | |
Cigna
| Professional | $152.21 | $152.21 | $459.86 | |
Providence
| Professional | $139.16 | $195.69 | $309.24 | |
United
| Professional | $211.03 | $260.42 | $308.94 |