| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.48 | $80.83 | $492.03 | |
Aetna
| Professional | $73.48 | $73.48 | $73.50 | |
Anthem BCBS
| Facility | $121.10 | $134.58 | $287.12 | |
Anthem BCBS
| Professional | $19.78 | $45.68 | $45.69 | |
Cigna
| Facility | $158.90 | $160.37 | $220.68 | |
Harvard Pilgrim
| Professional | $30.95 | $44.92 | $197.18 | |
United
| Professional | $35.85 | $51.22 | $68.70 | |
Well Sense
| Professional | $63.60 | $76.31 | $112.19 |