| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.25 | $141.25 | $165.96 | |
Aetna
| Professional | $12.88 | $14.13 | $144.54 | |
Anthem BCBS
| Professional | $3.80 | $3.80 | $3.80 | |
Cigna
| Professional | $131.83 | $131.83 | $131.83 | |
Harvard Pilgrim
| Professional | $89.13 | $89.13 | $131.83 | |
United
| Professional | $69.18 | $89.13 | $194.98 |