| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $199.53 | $199.53 | $549.54 | |
Aetna
| Professional | $42.66 | $57.54 | $67.61 | |
Anthem BCBS
| Facility | $457.09 | $457.09 | $616.60 | |
Anthem BCBS
| Professional | $31.62 | $51.29 | $51.29 | |
Cigna
| Facility | $128.82 | $245.47 | $346.74 | |
Harvard Pilgrim
| Professional | $79.43 | $79.43 | $151.36 | |
United
| Professional | $47.86 | $47.86 | $79.43 |