| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.69 | $87.69 | $105.23 | |
Aetna
| Professional | $59.71 | $77.53 | $87.69 | |
Anthem BCBS
| Professional | $162.57 | $504.43 | $504.43 | |
Cigna
| Facility | $139.08 | $139.08 | $139.08 | |
Cigna
| Professional | $101.53 | $101.53 | $139.08 | |
Harvard Pilgrim
| Professional | $294.14 | $294.14 | $907.89 | |
United
| Professional | $50.99 | $76.48 | $155.21 |