| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.90 | $134.90 | $371.54 | |
Aetna
| Professional | $28.18 | $36.31 | $52.48 | |
Anthem BCBS
| Facility | $91.20 | $100.00 | $302.00 | |
Anthem BCBS
| Professional | $5.01 | $33.88 | $100.00 | |
Cigna
| Facility | $85.11 | $165.96 | $229.09 | |
Cigna
| Professional | $60.26 | $60.26 | $75.86 | |
Harvard Pilgrim
| Professional | $52.48 | $91.20 | $169.82 | |
United
| Professional | $22.39 | $31.62 | $81.28 |