| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $263.03 | $263.03 | $630.96 | |
Aetna
| Professional | $51.29 | $72.44 | $173.78 | |
Anthem BCBS
| Facility | $269.15 | $338.84 | $371.54 | |
Anthem BCBS
| Professional | $60.26 | $89.13 | $123.03 | |
Cigna
| Facility | $478.63 | $478.63 | $478.63 | |
Cigna
| Professional | $75.86 | $112.20 | $177.83 | |
Harvard Pilgrim
| Professional | $69.18 | $102.33 | $158.49 | |
United
| Professional | $69.18 | $87.10 | $162.18 |