| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.60 | $93.28 | $408.75 | |
BCBS
| Professional | $103.58 | $103.58 | $103.58 | |
Cigna
| Professional | $72.00 | $90.00 | $103.58 | |
Providence
| Professional | $48.45 | $64.97 | $103.58 | |
United
| Professional | $35.51 | $40.86 | $67.48 |