| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $13.49 | $13.49 | $13.49 |
Aetna
| Professional | $52.48 | $83.18 | $100.00 | |
Anthem BCBS
| Professional | $79.43 | $117.49 | $165.96 | |
Cigna
| Professional | $104.71 | $190.55 | $251.19 | |
Harvard Pilgrim
| Professional | $93.33 | $154.88 | $281.84 | |
United
| Professional | $87.10 | $109.65 | $316.23 |