| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.82 | $309.03 | $851.14 | |
Aetna
| Professional | $81.28 | $100.00 | $186.21 | |
Anthem BCBS
| Facility | $208.93 | $234.42 | $707.95 | |
Anthem BCBS
| Professional | $79.43 | $79.43 | $114.82 | |
Cigna
| Facility | $199.53 | $446.68 | $630.96 | |
Cigna
| Professional | $63.10 | $147.91 | $512.86 | |
Harvard Pilgrim
| Professional | $123.03 | $123.03 | $234.42 | |
United
| Professional | $74.13 | $91.20 | $309.03 |