| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.79 | $77.62 | $100.00 | |
Anthem BCBS
| Facility | $147.91 | $147.91 | $147.91 | |
Anthem BCBS
| Professional | $109.65 | $109.65 | $117.49 | |
Cigna
| Facility | $91.20 | $91.20 | $117.49 | |
Cigna
| Professional | $77.62 | $91.20 | $117.49 | |
Harvard Pilgrim
| Professional | $61.66 | $125.89 | $436.52 | |
United
| Facility | $6.17 | $46.77 | $75.86 | |
United
| Professional | $56.23 | $74.13 | $131.83 |