| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.40 | $26.26 | $174.50 | |
BCBS
| Professional | $42.46 | $42.46 | $42.46 | |
Cigna
| Professional | $29.27 | $42.46 | $49.95 | |
Providence
| Professional | $30.41 | $43.08 | $59.74 | |
United
| Professional | $28.02 | $33.56 | $33.56 |