| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.00 | $75.00 | $90.00 | |
Aetna
| Professional | $59.28 | $62.94 | $75.00 | |
Anthem BCBS
| Facility | $144.04 | $144.04 | $170.75 | |
Anthem BCBS
| Professional | $45.00 | $45.00 | $45.00 | |
Cigna
| Facility | $83.71 | $83.71 | $83.71 | |
Cigna
| Professional | $61.11 | $61.11 | $83.71 | |
Harvard Pilgrim
| Professional | $116.62 | $116.62 | $359.95 | |
United
| Facility | $41.37 | $68.59 | $76.91 | |
United
| Professional | $47.91 | $71.86 | $95.83 |