| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.18 | $162.18 | $446.68 | |
Aetna
| Professional | $34.67 | $44.67 | $64.57 | |
Anthem BCBS
| Facility | $112.20 | $123.03 | $371.54 | |
Anthem BCBS
| Professional | $12.02 | $41.69 | $123.03 | |
Cigna
| Facility | $104.71 | $204.17 | $281.84 | |
Cigna
| Professional | $74.13 | $74.13 | $93.33 | |
Harvard Pilgrim
| Professional | $64.57 | $112.20 | $204.17 | |
United
| Professional | $26.92 | $38.90 | $97.72 |