| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $630.96 | $630.96 | $1,737.80 | |
Aetna
| Professional | $134.90 | $173.78 | $199.53 | |
Anthem BCBS
| Facility | $426.58 | $478.63 | $1,412.54 | |
Anthem BCBS
| Professional | $31.62 | $162.18 | $181.97 | |
Cigna
| Facility | $398.11 | $776.25 | $1,071.52 | |
Cigna
| Professional | $199.53 | $281.84 | $354.81 | |
Harvard Pilgrim
| Professional | $245.47 | $426.58 | $794.33 | |
United
| Professional | $104.71 | $147.91 | $380.19 |