| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.00 | $61.53 | $175.00 | |
Aetna
| Professional | $17.50 | $17.50 | $20.25 | |
Anthem BCBS
| Facility | $41.13 | $45.70 | $97.50 | |
Anthem BCBS
| Professional | $10.00 | $16.25 | $23.56 | |
Cigna
| Facility | $45.14 | $90.97 | $109.67 | |
Harvard Pilgrim
| Professional | $25.00 | $36.28 | $82.35 | |
United
| Professional | $10.50 | $15.00 | $15.00 | |
Well Sense
| Professional | $18.54 | $20.54 | $26.14 |