| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.83 | $158.49 | $194.98 | |
Aetna
| Professional | $72.44 | $131.83 | $162.18 | |
Anthem BCBS
| Professional | $70.79 | $70.79 | $70.79 | |
Cigna
| Professional | $141.25 | $141.25 | $141.25 | |
Harvard Pilgrim
| Professional | $194.98 | $346.74 | $489.78 | |
United
| Professional | $141.25 | $204.17 | $457.09 |