| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $131.41 | $184.69 | $464.19 | |
BCBS
| Professional | $200.86 | $200.86 | $200.86 | |
Cigna
| Professional | $138.50 | $193.72 | $312.06 | |
Providence
| Professional | $138.50 | $214.06 | $356.70 | |
United
| Professional | $185.64 | $233.04 | $276.25 |