| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $288.40 | $288.40 | $794.33 | |
Aetna
| Professional | $61.66 | $83.18 | $100.00 | |
Anthem BCBS
| Facility | $194.98 | $223.87 | $660.69 | |
Anthem BCBS
| Professional | $45.71 | $74.13 | $107.15 | |
Cigna
| Facility | $186.21 | $363.08 | $501.19 | |
Harvard Pilgrim
| Professional | $114.82 | $114.82 | $218.78 | |
United
| Professional | $69.18 | $69.18 | $120.23 |