| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,237.68 | $1,423.55 | $1,485.22 | |
Aetna
| Professional | $30.32 | $713.50 | $1,423.56 | |
Anthem BCBS
| Professional | $30.00 | $30.00 | $30.00 | |
Cigna
| Professional | $240.52 | $240.52 | $240.52 | |
Harvard Pilgrim
| Professional | $437.68 | $437.68 | $1,086.80 | |
United
| Professional | $437.68 | $437.68 | $437.68 |