| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.71 | $117.49 | $141.25 | |
Aetna
| Professional | $81.28 | $95.50 | $128.82 | |
Anthem BCBS
| Professional | $102.33 | $134.90 | $190.55 | |
Cigna
| Professional | $93.33 | $93.33 | $93.33 | |
Harvard Pilgrim
| Professional | $89.13 | $125.89 | $218.78 | |
United
| Professional | $112.20 | $169.82 | $281.84 |