| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.86 | $87.10 | $104.71 | |
Aetna
| Professional | $58.88 | $69.18 | $91.20 | |
Anthem BCBS
| Professional | $74.13 | $95.50 | $134.90 | |
Cigna
| Professional | $66.07 | $66.07 | $66.07 | |
Harvard Pilgrim
| Professional | $64.57 | $91.20 | $158.49 | |
United
| Professional | $81.28 | $123.03 | $204.17 |