| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.00 | $72.00 | $86.40 | |
Aetna
| Professional | $61.50 | $72.00 | $72.00 | |
Anthem BCBS
| Facility | $133.52 | $133.52 | $158.27 | |
Anthem BCBS
| Professional | $39.00 | $39.00 | $39.00 | |
Cigna
| Facility | $52.17 | $52.17 | $52.17 | |
Cigna
| Professional | $38.08 | $38.08 | $52.17 | |
Harvard Pilgrim
| Professional | $168.49 | $168.49 | $520.04 | |
United
| Professional | $69.20 | $103.82 | $168.49 |