| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.54 | $104.07 | $558.26 | |
BCBS
| Professional | $160.88 | $160.88 | $160.88 | |
Cigna
| Professional | $105.93 | $145.13 | $248.05 | |
Providence
| Professional | $105.93 | $171.79 | $287.52 | |
United
| Professional | $143.57 | $170.10 | $199.24 |