| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $218.78 | $218.78 | $218.78 |
Aetna
| Professional | $93.33 | $128.82 | $316.23 | |
Anthem BCBS
| Professional | $112.20 | $158.49 | $229.09 | |
Cigna
| Professional | $141.25 | $251.19 | $338.84 | |
Harvard Pilgrim
| Professional | $123.03 | $204.17 | $316.23 | |
United
| Professional | $125.89 | $162.18 | $309.03 |