| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.57 | $65.93 | $337.54 | |
Aetna
| Professional | $17.21 | $20.58 | $21.08 | |
Anthem BCBS
| Facility | $39.65 | $46.67 | $108.98 | |
Anthem BCBS
| Professional | $9.64 | $15.67 | $18.51 | |
Cigna
| Facility | $55.00 | $100.84 | $122.11 | |
Cigna
| Professional | $12.46 | $13.05 | $35.11 | |
Harvard Pilgrim
| Professional | $32.72 | $42.85 | $85.78 | |
United
| Professional | $10.13 | $14.47 | $24.11 | |
Well Sense
| Professional | $17.80 | $22.08 | $31.42 |