| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.49 | $158.49 | $436.52 | |
Aetna
| Professional | $33.11 | $42.66 | $61.66 | |
Anthem BCBS
| Facility | $107.15 | $120.23 | $354.81 | |
Anthem BCBS
| Professional | $31.62 | $40.74 | $117.49 | |
Cigna
| Facility | $100.00 | $194.98 | $275.42 | |
Cigna
| Professional | $70.79 | $70.79 | $89.13 | |
Harvard Pilgrim
| Professional | $61.66 | $109.65 | $154.88 | |
United
| Professional | $26.30 | $37.15 | $79.43 |