| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $371.54 | $389.05 | $954.99 | |
Aetna
| Professional | $234.42 | $295.12 | $416.87 | |
Anthem BCBS
| Professional | $194.98 | $194.98 | $194.98 | |
Cigna
| Professional | $147.91 | $147.91 | $147.91 | |
Harvard Pilgrim
| Professional | $199.53 | $199.53 | $269.15 | |
United
| Professional | $199.53 | $199.53 | $199.53 |