| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.11 | $61.77 | $175.70 | |
Aetna
| Professional | $19.50 | $22.56 | $34.53 | |
Anthem BCBS
| Facility | $41.29 | $48.59 | $124.98 | |
Anthem BCBS
| Professional | $16.30 | $16.30 | $52.84 | |
Cigna
| Facility | $45.34 | $92.17 | $110.14 | |
Harvard Pilgrim
| Professional | $25.10 | $25.10 | $82.68 | |
United
| Professional | $10.03 | $15.06 | $25.10 | |
Well Sense
| Professional | $18.73 | $20.61 | $26.24 |