| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $363.08 | $363.08 | $1,000.00 | |
Aetna
| Professional | $77.62 | $104.71 | $123.03 | |
Anthem BCBS
| Facility | $245.47 | $275.42 | $812.83 | |
Anthem BCBS
| Professional | $19.95 | $93.33 | $93.33 | |
Cigna
| Facility | $234.42 | $446.68 | $630.96 | |
Harvard Pilgrim
| Professional | $141.25 | $141.25 | $269.15 | |
United
| Professional | $85.11 | $85.11 | $151.36 |