| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.42 | $94.93 | $236.80 | |
Aetna
| Professional | $24.58 | $29.42 | $29.42 | |
Anthem BCBS
| Facility | $42.46 | $49.96 | $116.66 | |
Anthem BCBS
| Professional | $10.32 | $16.77 | $19.82 | |
Cigna
| Facility | $58.90 | $131.38 | $174.20 | |
Cigna
| Professional | $13.34 | $18.54 | $37.17 | |
Harvard Pilgrim
| Professional | $35.03 | $45.87 | $93.99 | |
United
| Professional | $10.84 | $15.49 | $71.03 | |
Well Sense
| Professional | $23.54 | $30.60 | $41.52 |