| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.00 | $75.00 | $90.00 | |
Aetna
| Professional | $57.15 | $75.00 | $75.00 | |
Anthem BCBS
| Professional | $150.00 | $150.00 | $150.00 | |
Cigna
| Facility | $112.59 | $112.59 | $112.59 | |
Cigna
| Professional | $47.79 | $47.79 | $47.79 | |
Harvard Pilgrim
| Professional | $97.05 | $97.05 | $147.19 | |
United
| Professional | $39.58 | $59.38 | $94.83 |