| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.86 | $75.86 | $208.93 | |
Aetna
| Professional | $16.98 | $22.91 | $25.70 | |
Anthem BCBS
| Facility | $51.29 | $57.54 | $169.82 | |
Anthem BCBS
| Professional | $14.45 | $19.05 | $19.05 | |
Cigna
| Facility | $47.86 | $93.33 | $128.82 | |
Harvard Pilgrim
| Professional | $29.51 | $29.51 | $56.23 | |
United
| Professional | $17.78 | $17.78 | $34.67 |