| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $420.00 | $922.88 | $2,625.00 | |
Aetna
| Professional | $262.50 | $262.50 | $303.75 | |
Anthem BCBS
| Professional | $150.00 | $243.75 | $243.75 | |
Cigna
| Facility | $677.14 | $1,370.60 | $1,645.07 | |
Harvard Pilgrim
| Professional | $375.00 | $508.95 | $1,157.44 | |
United
| Professional | $157.50 | $225.00 | $225.00 |