| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.04 | $129.72 | $368.97 | |
Aetna
| Professional | $36.90 | $42.70 | $42.70 | |
Anthem BCBS
| Facility | $86.71 | $96.35 | $205.57 | |
Anthem BCBS
| Professional | $21.08 | $34.26 | $40.47 | |
Cigna
| Facility | $95.17 | $192.72 | $231.22 | |
Cigna
| Professional | $60.71 | $60.71 | $75.89 | |
Harvard Pilgrim
| Professional | $71.54 | $93.68 | $187.54 | |
United
| Professional | $22.14 | $31.63 | $31.63 | |
Well Sense
| Professional | $2,500.00 | $2,750.00 | $3,500.00 |