| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $691.83 | $691.83 | $1,905.46 | |
Aetna
| Professional | $147.91 | $190.55 | $239.88 | |
Anthem BCBS
| Facility | $478.63 | $524.81 | $1,584.89 | |
Anthem BCBS
| Professional | $177.83 | $177.83 | $257.04 | |
Cigna
| Facility | $446.68 | $870.96 | $1,202.26 | |
Harvard Pilgrim
| Professional | $275.42 | $275.42 | $524.81 | |
United
| Professional | $165.96 | $165.96 | $275.42 |