| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $251.19 | $251.19 | $302.00 | |
Aetna
| Professional | $251.19 | $295.12 | $380.19 | |
Anthem BCBS
| Professional | $302.00 | $302.00 | $302.00 | |
Cigna
| Professional | $40.74 | $40.74 | $40.74 | |
Harvard Pilgrim
| Professional | $446.68 | $741.31 | $851.14 | |
United
| Facility | $13.80 | $37.15 | $234.42 | |
United
| Professional | $19.95 | $42.66 | $446.68 |