| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $336.05 | $336.05 | $695.78 | |
Anthem BCBS
| Professional | $637.50 | $1,615.00 | $1,900.00 | |
Cigna
| Facility | $405.00 | $405.00 | $413.10 | |
Cigna
| Professional | $344.25 | $405.00 | $413.10 | |
Harvard Pilgrim
| Professional | $800.28 | $2,246.46 | $2,847.32 |