| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $45.71 | $100.00 | $177.83 |
Aetna
| Professional | $158.49 | $218.78 | $275.42 | |
Anthem BCBS
| Professional | $208.93 | $309.03 | $436.52 | |
Cigna
| Professional | $275.42 | $512.86 | $676.08 | |
Harvard Pilgrim
| Professional | $239.88 | $398.11 | $741.31 | |
United
| Professional | $239.88 | $302.00 | $812.83 |