| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $368.97 | $390.37 | $948.63 | |
Aetna
| Professional | $15.58 | $293.39 | $454.81 | |
Anthem BCBS
| Professional | $165.00 | $194.12 | $194.12 | |
Cigna
| Professional | $147.34 | $147.34 | $147.34 | |
Harvard Pilgrim
| Professional | $197.62 | $197.62 | $490.71 | |
United
| Professional | $197.62 | $197.62 | $197.62 |