| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $68.43 | $82.40 | $367.50 | |
BCBS
| Professional | $96.09 | $113.05 | $113.05 | |
Cigna
| Professional | $67.97 | $105.04 | $168.47 | |
Providence
| Professional | $72.97 | $121.32 | $202.16 | |
United
| Professional | $107.10 | $122.10 | $146.52 |