| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $59.15 | $71.59 | $294.77 | |
BCBS
| Professional | $77.13 | $85.71 | $85.71 | |
Cigna
| Professional | $59.30 | $82.03 | $133.97 | |
Providence
| Professional | $59.30 | $91.66 | $152.74 | |
United
| Professional | $81.34 | $97.94 | $115.50 |