| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.23 | $134.90 | $154.88 | |
Aetna
| Professional | $97.72 | $120.23 | $120.23 | |
Anthem BCBS
| Facility | $141.25 | $177.83 | $251.19 | |
Anthem BCBS
| Professional | $120.23 | $120.23 | $138.04 | |
Cigna
| Facility | $120.23 | $120.23 | $120.23 | |
Cigna
| Professional | $120.23 | $120.23 | $120.23 | |
Harvard Pilgrim
| Professional | $128.82 | $208.93 | $229.09 | |
United
| Professional | $120.23 | $186.21 | $269.15 |