| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.11 | $85.11 | $234.42 | |
Aetna
| Professional | $18.20 | $25.12 | $28.84 | |
Anthem BCBS
| Facility | $57.54 | $66.07 | $194.98 | |
Anthem BCBS
| Professional | $13.49 | $21.88 | $21.88 | |
Cigna
| Facility | $54.95 | $107.15 | $147.91 | |
Harvard Pilgrim
| Professional | $33.88 | $33.88 | $64.57 | |
United
| Professional | $20.42 | $20.42 | $35.48 |