| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $291.76 | $641.09 | $1,823.50 | |
Aetna
| Professional | $182.35 | $182.35 | $211.01 | |
Anthem BCBS
| Facility | $428.52 | $476.19 | $1,015.95 | |
Anthem BCBS
| Professional | $57.05 | $169.32 | $169.33 | |
Cigna
| Facility | $470.40 | $952.84 | $1,142.81 | |
Harvard Pilgrim
| Professional | $260.50 | $378.09 | $858.11 | |
United
| Professional | $104.20 | $156.30 | $260.50 |