| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $831.76 | $1,230.27 | $4,168.69 | |
Aetna
| Professional | $128.82 | $512.86 | $1,230.27 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
Cigna
| Professional | $489.78 | $489.78 | $489.78 | |
Harvard Pilgrim
| Professional | $1,949.84 | $2,818.38 | $3,467.37 | |
United
| Professional | $2,041.74 | $2,398.83 | $3,467.37 |