| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.39 | $275.39 | $308.45 | |
Aetna
| Professional | $275.39 | $275.39 | $275.39 | |
Anthem BCBS
| Facility | $0.03 | $0.05 | $540.00 | |
Anthem BCBS
| Professional | $275.39 | $275.39 | $275.39 | |
Cigna
| Facility | $302.39 | $302.39 | $302.39 | |
Cigna
| Professional | $302.39 | $302.39 | $302.39 | |
Harvard Pilgrim
| Professional | $288.95 | $447.25 | $850.02 | |
United
| Professional | $32.75 | $247.34 | $324.00 |