| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.04 | $309.03 | $346.74 | |
Aetna
| Professional | $36.31 | $125.89 | $501.19 | |
Anthem BCBS
| Facility | $93.33 | $104.71 | $316.23 | |
Anthem BCBS
| Professional | $21.88 | $35.48 | $39.81 | |
Cigna
| Facility | $89.13 | $199.53 | $239.88 | |
Cigna
| Professional | $19.95 | $28.18 | $77.62 | |
Harvard Pilgrim
| Professional | $53.70 | $95.50 | $173.78 | |
United
| Professional | $22.91 | $32.36 | $120.23 |