| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.78 | $389.05 | $977.24 | |
Aetna
| Professional | $102.33 | $173.78 | $173.78 | |
Anthem BCBS
| Facility | $263.03 | $295.12 | $891.25 | |
Anthem BCBS
| Professional | $61.66 | $100.00 | $112.20 | |
Cigna
| Facility | $190.55 | $562.34 | $676.08 | |
Cigna
| Professional | $79.43 | $89.13 | $218.78 | |
Harvard Pilgrim
| Professional | $154.88 | $269.15 | $489.78 | |
United
| Professional | $64.57 | $91.20 | $338.84 |