| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $295.12 | $295.12 | $407.38 | |
Aetna
| Professional | $63.10 | $85.11 | $257.04 | |
Anthem BCBS
| Facility | $331.13 | $416.87 | $467.74 | |
Anthem BCBS
| Professional | $74.13 | $109.65 | $151.36 | |
Cigna
| Facility | $489.78 | $489.78 | $489.78 | |
Cigna
| Professional | $87.10 | $134.90 | $218.78 | |
Harvard Pilgrim
| Professional | $81.28 | $123.03 | $194.98 | |
United
| Professional | $81.28 | $104.71 | $204.17 |