| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.50 | $173.78 | $478.63 | |
Aetna
| Professional | $32.36 | $47.86 | $72.44 | |
Anthem BCBS
| Facility | $117.49 | $131.83 | $398.11 | |
Anthem BCBS
| Professional | $44.67 | $44.67 | $64.57 | |
Cigna
| Facility | $112.20 | $251.19 | $302.00 | |
Cigna
| Professional | $35.48 | $72.44 | $281.84 | |
Harvard Pilgrim
| Professional | $69.18 | $69.18 | $131.83 | |
United
| Professional | $35.48 | $40.74 | $128.82 |