| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $88.48 | $194.42 | $553.00 | |
Aetna
| Professional | $55.30 | $55.30 | $63.99 | |
Anthem BCBS
| Professional | $31.60 | $51.35 | $51.35 | |
Cigna
| Facility | $142.65 | $288.49 | $346.56 | |
Harvard Pilgrim
| Professional | $79.00 | $107.22 | $243.83 | |
United
| Professional | $33.18 | $47.40 | $47.40 |