| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.00 | $140.00 | $168.00 | |
Aetna
| Professional | $140.00 | $140.00 | $140.00 | |
Anthem BCBS
| Professional | $266.75 | $266.75 | $290.69 | |
Cigna
| Facility | $223.29 | $223.29 | $223.29 | |
Cigna
| Professional | $163.00 | $163.00 | $223.29 | |
Harvard Pilgrim
| Professional | $348.62 | $348.62 | $1,076.02 | |
United
| Professional | $131.26 | $196.90 | $278.94 |