| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $302.00 | $1,000.00 | $1,659.59 | |
Aetna
| Professional | $125.89 | $213.80 | $645.65 | |
Anthem BCBS
| Facility | $446.68 | $512.86 | $1,513.56 | |
Anthem BCBS
| Professional | $104.71 | $169.82 | $245.47 | |
Cigna
| Facility | $426.58 | $954.99 | $1,148.15 | |
Cigna
| Professional | $134.90 | $288.40 | $1,096.48 | |
Harvard Pilgrim
| Professional | $263.03 | $263.03 | $501.19 | |
United
| Professional | $109.65 | $158.49 | $338.84 |