| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $234.42 | $234.42 | $645.65 | |
Aetna
| Professional | $61.66 | $74.13 | $91.20 | |
Anthem BCBS
| Facility | $158.49 | $177.83 | $524.81 | |
Anthem BCBS
| Professional | $45.71 | $60.26 | $87.10 | |
Cigna
| Facility | $147.91 | $288.40 | $398.11 | |
Harvard Pilgrim
| Professional | $91.20 | $91.20 | $173.78 | |
United
| Professional | $54.95 | $54.95 | $114.82 |