| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $457.09 | $691.83 | $831.76 | |
Aetna
| Professional | $323.59 | $794.33 | $794.33 | |
Anthem BCBS
| Professional | $30.20 | $30.20 | $30.20 | |
Cigna
| Professional | $288.40 | $288.40 | $288.40 | |
Harvard Pilgrim
| Professional | $436.52 | $436.52 | $602.56 | |
United
| Professional | $436.52 | $436.52 | $436.52 |