| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.82 | $114.82 | $138.04 | |
Aetna
| Professional | $114.82 | $147.91 | $239.88 | |
Anthem BCBS
| Facility | $331.13 | $354.81 | $407.38 | |
Anthem BCBS
| Professional | $338.84 | $338.84 | $338.84 | |
Cigna
| Professional | $151.36 | $151.36 | $151.36 | |
Harvard Pilgrim
| Professional | $302.00 | $457.09 | $575.44 | |
United
| Professional | $112.20 | $165.96 | $363.08 |