| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.92 | $87.92 | $105.50 | |
Aetna
| Professional | $55.38 | $89.79 | $722.35 | |
Anthem BCBS
| Professional | $425.00 | $500.00 | $500.00 | |
Cigna
| Professional | $630.72 | $630.72 | $630.72 | |
Harvard Pilgrim
| Professional | $849.47 | $1,336.39 | $2,621.89 | |
United
| Professional | $92.66 | $389.64 | $1,576.47 |