| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.71 | $104.71 | $125.89 | |
Aetna
| Professional | $102.33 | $104.71 | $104.71 | |
Anthem BCBS
| Professional | $44.67 | $44.67 | $44.67 | |
Cigna
| Professional | $58.88 | $58.88 | $58.88 | |
Harvard Pilgrim
| Professional | $131.83 | $158.49 | $181.97 | |
United
| Professional | $104.71 | $104.71 | $229.09 |