| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $333.70 | $333.70 | $400.44 | |
Aetna
| Professional | $89.88 | $333.70 | $370.91 | |
Anthem BCBS
| Professional | $246.81 | $249.99 | $249.99 | |
Cigna
| Professional | $161.72 | $161.72 | $161.72 | |
Harvard Pilgrim
| Professional | $229.29 | $229.29 | $249.23 |