| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $208.93 | $380.19 | $1,047.13 | |
Aetna
| Professional | $100.00 | $100.00 | $134.90 | |
Anthem BCBS
| Facility | $257.04 | $288.40 | $870.96 | |
Anthem BCBS
| Professional | $97.72 | $97.72 | $141.25 | |
Cigna
| Facility | $245.47 | $549.54 | $660.69 | |
Cigna
| Professional | $77.62 | $158.49 | $630.96 | |
Harvard Pilgrim
| Professional | $151.36 | $151.36 | $288.40 | |
United
| Professional | $91.20 | $91.20 | $263.03 |