| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.19 | $501.19 | $1,412.54 | |
Aetna
| Professional | $128.82 | $128.82 | $162.18 | |
Anthem BCBS
| Facility | $346.74 | $380.19 | $1,148.15 | |
Anthem BCBS
| Professional | $13.18 | $128.82 | $190.55 | |
Cigna
| Facility | $323.59 | $630.96 | $870.96 | |
Harvard Pilgrim
| Professional | $199.53 | $199.53 | $380.19 | |
United
| Professional | $120.23 | $120.23 | $208.93 |