| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $436.52 | $630.96 | $1,096.48 | |
Aetna
| Professional | $120.23 | $151.36 | $776.25 | |
Anthem BCBS
| Facility | $295.12 | $338.84 | $1,000.00 | |
Anthem BCBS
| Professional | $97.72 | $112.20 | $162.18 | |
Cigna
| Facility | $281.84 | $660.69 | $1,202.26 | |
Cigna
| Professional | $89.13 | $302.00 | $724.44 | |
Harvard Pilgrim
| Professional | $173.78 | $288.40 | $489.78 | |
United
| Professional | $104.71 | $173.78 | $524.81 |