| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.18 | $190.55 | $588.84 | |
Aetna
| Professional | $52.48 | $64.57 | $269.15 | |
Anthem BCBS
| Facility | $128.82 | $144.54 | $426.58 | |
Anthem BCBS
| Professional | $47.86 | $47.86 | $70.79 | |
Cigna
| Facility | $120.23 | $269.15 | $389.05 | |
Cigna
| Professional | $38.02 | $77.62 | $309.03 | |
Harvard Pilgrim
| Professional | $74.13 | $74.13 | $141.25 | |
United
| Professional | $44.67 | $58.88 | $194.98 |