| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $371.54 | $371.54 | $371.54 |
Aetna
| Professional | 26 | $83.18 | $125.89 | $218.78 |
Anthem BCBS
| Professional | 26 | $83.18 | $169.82 | $245.47 |
Cigna
| Professional | 26 | $104.71 | $186.21 | $245.47 |
Harvard Pilgrim
| Professional | 26 | $95.50 | $158.49 | $257.04 |
United
| Professional | 26 | $89.13 | $109.65 | $218.78 |