| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $131.83 | $229.09 | $371.54 | |
Anthem BCBS
| Facility | $85.11 | $95.50 | $199.53 | |
Anthem BCBS
| Professional | $151.36 | $151.36 | $257.04 | |
Cigna
| Facility | $93.33 | $177.83 | $218.78 | |
Harvard Pilgrim
| Professional | $47.86 | $169.82 | $257.04 | |
United
| Professional | $47.86 | $173.78 | $257.04 |