| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $288.40 | $288.40 | $346.74 | |
Aetna
| Professional | $218.78 | $288.40 | $389.05 | |
Anthem BCBS
| Professional | $302.00 | $302.00 | $302.00 | |
Cigna
| Professional | $34.67 | $34.67 | $34.67 | |
Harvard Pilgrim
| Professional | $22.91 | $26.92 | $56.23 | |
United
| Facility | $18.20 | $29.51 | $1,202.26 | |
United
| Professional | $22.91 | $39.81 | $89.13 |