| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $125.57 | $185.23 | $513.90 | |
BCBS
| Professional | $183.61 | $204.01 | $204.01 | |
Cigna
| Professional | $138.24 | $190.45 | $316.30 | |
Providence
| Professional | $140.79 | $218.38 | $363.89 | |
United
| Professional | $197.49 | $233.04 | $360.75 |