| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.50 | $173.78 | $478.63 | |
Aetna
| Professional | $36.31 | $36.31 | $54.95 | |
Anthem BCBS
| Facility | $117.49 | $134.90 | $398.11 | |
Anthem BCBS
| Professional | $32.36 | $44.67 | $50.12 | |
Cigna
| Facility | $112.20 | $218.78 | $302.00 | |
Cigna
| Professional | $35.48 | $43.65 | $100.00 | |
Harvard Pilgrim
| Professional | $69.18 | $120.23 | $218.78 | |
United
| Professional | $28.84 | $41.69 | $151.36 |